<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg1.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls6">1</div><div class="t m0 x2 h3 y2 ff1 fs1 fc1 sc0 ls0 wsb">início até os 16 anos de idade, as<span class="blank _0"></span>sociada à psorí<span class="ls6">-</span></div><div class="t m0 x2 h3 y3 ff1 fs1 fc1 sc0 ls0 wsc">ase cutânea ou a duas das seguintes manif<span class="blank _0"></span>esta<span class="ls6">-</span></div><div class="t m0 x2 h3 y4 ff1 fs1 fc1 sc0 ls0 wsd">ções: dactilite ou entesite de dedos e artelhos, o </div><div class="t m0 x2 h3 y5 ff1 fs1 fc1 sc0 ls0 wse">que conf<span class="blank _0"></span>ere car<span class="blank _0"></span>acterísticas peculiares de edema </div><div class="t m0 x2 h3 y6 ff1 fs1 fc1 sc0 ls0 wsf">digital, alteraç<span class="blank _0"></span>ões ungueais (<span class="ff2 ws10">nail pitting</span> ou <span class="ff2 ws0">pits</span><span class="ls6 wsa">) </span></div><div class="t m0 x2 h3 y7 ff1 fs1 fc1 sc0 ls0 ws11">ou onicólise e psoríase em f<span class="blank _0"></span>amiliar de primeiro </div><div class="t m0 x2 h3 y8 ff1 fs1 fc1 sc0 ls0 ws1">grau.<span class="fs2 ls1 ws2 v1">1-3</span><span class="ws12"> Entr<span class="blank _0"></span>etanto, se o paciente apresentar o f<span class="blank _0"></span>a<span class="ls6">-</span></span></div><div class="t m0 x2 h3 y9 ff1 fs1 fc1 sc0 ls0 ws13">tor reumatoide (FR) positiv<span class="blank _0"></span>o em pelo menos duas </div><div class="t m0 x3 h4 ya ff3 fs3 fc1 sc0 ls2 ws3">\ue627\ue7e0\ue7eb<span class="blank _0"></span>\ue7dc\ue7ed\ue7ef<span class="blank _1"></span>\ue7dc\ue7e8\ue7e0\ue7e9\ue7ef\ue7ea\ue603\ue626\ue7e4\ue7e0\ue7e9\ue7ef\ue830\ue7e1\ue7e4\ue7de<span class="blank _0"></span>\ue7ea\ue603\ue7df\ue7e0\ue603\ue635\ue7e0\ue7f0\ue7e8\ue7dc<span class="blank _1"></span>\ue7ef\ue7ea\ue7e7<span class="blank _0"></span>\ue7ea\ue7e2\ue7e4\ue7dc\ue603\ue86f\ue7e2\ue7e0\ue7ee\ue7ef<span class="blank _1"></span>\ue817\ue7ea\ue603\ue87c\ue87a<span class="blank _0"></span>\ue87c\ue87c\ue610\ue87c<span class="blank _0"></span>\ue87a\ue87c\ue87e\ue870</div><div class="t m0 x3 h4 yb ff3 fs3 fc1 sc0 ls2 ws3">\ue633\ue7ed\ue7e0\ue7ee\ue7e4\ue7df\ue7e0\ue7e9\ue7ef\ue7e0<span class="ff4 ls3">:</span><span class="ff1 wsa"> <span class="blank _2"> </span>Clovis Artur Almeida da Sil<span class="blank _0"></span>va</span></div><div class="t m0 x3 h4 yc ff3 fs3 fc1 sc0 ls2 ws3">\ue636\ue7e0\ue7de\ue7ed\ue7e0\ue7ef<span class="blank _1"></span>\ue815\ue7ed\ue7e4\ue7dc<span class="ff4 ls3">:</span><span class="ff1 wsa"> <span class="blank _3"> </span>Adriana Rodrigues F<span class="blank _0"></span>onseca</span></div><div class="t m0 x3 h4 yd ff3 fs3 fc1 sc0 ls2 ws3">\ue626\ue7ea\ue7e9\ue7ee\ue7e0\ue7e7\ue7e3\ue7ea\ue603\ue626\ue7e4\ue7e0\ue7e9\ue7ef\ue830\ue7e1\ue7e4\ue7de<span class="blank _0"></span>\ue7ea<span class="ff4 ls3">:</span><span class="ff1 wsa"> <span class="blank _4"> </span> <span class="blank _5"></span>Ana Luiza Garcia C<span class="blank _0"></span>unha, Claris<span class="blank _0"></span>sa Carvalho de Miranda V<span class="blank _1"></span>alões, <span class="ls6"> </span></span></div><div class="t m0 x4 h5 ye ff1 fs3 fc1 sc0 ls2 wsa">Claudia Saad-Magalhães, Claudio Arnaldo Len, <span class="ls6"> </span></div><div class="t m0 x4 h5 yf ff1 fs3 fc1 sc0 ls2 wsa">Glaucia V<span class="blank _1"></span>anessa Novak Molina, Maria Odete Este<span class="blank _0"></span>v<span class="blank _0"></span>es Hilário</div><div class="t m0 x3 h4 y10 ff3 fs3 fc1 sc0 ls2 ws3">\ue626\ue7ea\ue7e7\ue7dc\ue7dd\ue7ea\ue7ed\ue7dc\ue7df\ue7ea\ue7ed\ue7e0\ue7ee\ue61d<span class="ff1 wsa"> <span class="blank _6"> </span> <span class="blank _5"></span>Flavio Roberto Sztajnbok, Mar<span class="blank _0"></span>garida de F<span class="blank _0"></span>átima Fernandes C<span class="blank _0"></span>arvalho, <span class="ls6"> </span></span></div><div class="t m0 x4 h5 y11 ff1 fs3 fc1 sc0 ls2 wsa">Paulo R<span class="blank _0"></span>oberto Stocc<span class="blank _0"></span>o Romanelli<span class="ls6"> </span></div><div class="t m0 x3 h4 y12 ff3 fs3 fc1 sc0 ls2 ws3">\ue626\ue652\ue650\ue64c\ue656<span class="blank _0"></span>\ue656\ue6a2\ue652\ue603\ue647\ue648\ue603\ue635\ue648\ue658\ue650\ue644\ue657\ue652\ue64f\ue652\ue64a\ue64c\ue644\ue603\ue633\ue648\ue647\ue64c\ue6a0\ue657\ue655\ue64c\ue646\ue644\ue603\ue647\ue644\ue603\ue636\ue652\ue646\ue64c\ue648\ue647\ue644\ue647\ue648\ue603\ue625\ue655<span class="blank _0"></span>\ue644\ue656\ue64c\ue64f\ue648\ue64c\ue655\ue644\ue603\ue647\ue648\ue603\ue635\ue648\ue658\ue650\ue644\ue657\ue652\ue64f\ue652\ue64a\ue64c\ue644\ue61d<span class="blank _0"></span>\ue603<span class="ls6">\ue603</span></div><div class="t m0 x3 h5 y13 ff1 fs3 fc1 sc0 ls2 wsa">André de Souza C<span class="blank _0"></span>avalcanti, Marc<span class="blank _0"></span>o Felipe C<span class="blank _0"></span>astro da Sil<span class="blank _0"></span>va, Maria T<span class="blank _1"></span>er<span class="blank _0"></span>esa T<span class="blank _1"></span>erreri,<span class="blank _0"></span> <span class="ls6"> </span></div><div class="t m0 x3 h5 y14 ff1 fs3 fc1 sc0 ls2 wsa">Marta Cristine Felix R<span class="blank _0"></span>odrigues, Nadia Emi Aikawa, T<span class="blank _1"></span>er<span class="blank _0"></span>esa Cristina Martins Vicente R<span class="blank _0"></span>obazzi</div><div class="t m0 x5 h6 y15 ff3 fs4 fc1 sc0 ls7">\ue632\ue603\ue7ec\ue7f0\ue7e0\ue603\ue822\ue603\ue7dc\ue7ed\ue7ef\ue7ed\ue7e4\ue7ef\ue7e0\ue603\ue7eb\ue7ee\ue7ea\ue7ed\ue7e4\ue815\ue7ee\ue7e4\ue7de\ue7dc\ue603\ue7e5\ue7f0\ue7f1\ue7e0\ue7e9\ue7e4\ue7e7\ue80c</div><div class="t m0 x6 h3 y16 ff1 fs1 fc1 sc0 ls0 ws15">A artrite psoriásica juvenil (APsJ) é um dos<span class="blank _0"></span> </div><div class="t m0 x7 h3 y17 ff1 fs1 fc1 sc0 ls0 ws16">sete subtipos da artrite idiopática juvenil (AIJ)<span class="fs2 ls4 v1">1</span><span class="ls6 wsa">. </span></div><div class="t m0 x7 h7 y18 ff5 fs1 fc1 sc0 ls0 ws4">\ue684\ue603<span class="blank"> </span>\ue642\ue640\ue651\ue640\ue642\ue653\ue644\ue651\ue648\ue659\ue640\ue643\ue640\ue603\ue64f\ue644\ue64b\ue640\ue603<span class="blank"> </span>\ue64f\ue651\ue644\ue652\ue644\ue64d\ue6a2\ue640\ue603<span class="blank"> </span>\ue643\ue644\ue603<span class="blank"> </span>\ue640\ue651\ue653\ue651\ue648\ue653\ue644\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640<span class="ff1 ls6">-</span></div><div class="t m0 x7 h7 y19 ff5 fs1 fc1 sc0 ls0 ws5">\ue653\ue6ae\ue651\ue648\ue640\ue603<span class="blank"> </span>\ue642\ue651\ue6af\ue64d\ue648\ue642\ue640\ue603<span class="blank"> </span>\ue607\ue7a5\ue657\ue640\ue603<span class="blank"> </span>\ue644\ue64c\ue603<span class="blank"> </span>\ue654\ue64c\ue640\ue603<span class="blank"> </span>\ue64e\ue654\ue603<span class="blank"> </span>\ue64c\ue640\ue648\ue652\ue603<span class="blank"> </span>\ue640\ue651\ue653\ue648\ue642\ue654\ue64b\ue640\ue6a2<span class="blank _0"></span>\ue6b0\ue644\ue652\ue603</div><div class="t m0 x7 h3 y1a ff1 fs1 fc1 sc0 ls0 ws17">com dur<span class="blank _0"></span>ação superior a seis semanas), que tem </div><div class="t m0 x8 h8 y1b ff3 fs5 fc2 sc0 ls6 ws6">\ue631\ue67c\ue603\ue616\ue618\ue60f\ue603\ue613\ue619\ue603\ue647\ue648\ue603\ue62d\ue644\ue651\ue648\ue64c\ue655\ue652\ue603\ue647\ue648\ue603\ue615\ue613\ue615\ue616</div><div class="t m0 x9 h9 y1c ff5 fs6 fc2 sc0 ls8 ws7">\ue623\ue7e6\ue7da\ue7ec\ue7e4\ue7dc\ue7e5\ue7eb<span class="blank _1"></span>\ue7e6\ue603\ue622\ue7e0\ue7dc\ue7e5\ue7eb\ue837\ue7dd\ue7e0\ue7da<span class="blank _1"></span>\ue7e6</div><div class="t m0 xa ha y1d ff5 fs7 fc2 sc0 ls5 ws8">\ue623\ue7dc\ue7e7<span class="blank _1"></span>\ue7d8\ue7e9\ue7eb<span class="blank _1"></span>\ue7d8\ue7e4\ue7dc\ue7e5\ue7eb\ue7e6\ue603\ue622\ue7e0\ue7dc\ue7e5\ue7eb\ue837\ue7dd\ue7e0\ue7da<span class="blank _0"></span>\ue7e6\ue603\ue7db\ue7dc\ue603<span class="ff1 ls6 wsa"> </span></div><div class="t m0 xb ha y1e ff5 fs7 fc2 sc0 ls5 ws8">\ue631\ue7dc\ue7ec\ue7e4\ue7d8<span class="blank _1"></span>\ue7eb\ue7e6\ue7e3<span class="blank _1"></span>\ue7e6\ue7de\ue7e0\ue7d8\ue603\ue88b\ue7de\ue7dc\ue7ea\ue7eb<span class="blank _1"></span>\ue81d\ue7e6\ue603\ue7fb\ue7f9\ue7fb\ue7fb\ue60c<span class="blank _1"></span>\ue7fb\ue7f9\ue7fb\ue7fd\ue88c</div><div class="t m0 xc hb y1f ff3 fs8 fc0 sc0 ls9 ws9">\ue624\ue7ed\ue7ef\ue7ed\ue7e4\ue7ef\ue7e0<span class="blank _7"></span><span class="ls6">\ue603</span></div><div class="t m0 xd hb y20 ff3 fs8 fc0 sc0 ls9">\ue633\ue7ee\ue7ea\ue7ed\ue7e4\ue815\ue7ee\ue7e4\ue7de\ue7dc\ue603\ue62d\ue7f0\ue7f1\ue7e0\ue7e9\ue7e4\ue7e7</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 hc" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg2.png"><div class="t m0 x7 hd y21 ff6 fs5 fc0 sc0 ls6 wsa">Artrite Psoriásica Juvenil</div><div class="t m0 x7 h2 y1 ff1 fs0 fc0 sc0 ls6">2</div><div class="t m0 x2 h3 y22 ff1 fs1 fc1 sc0 lsa ws20">dro, embor<span class="blank _0"></span>a menos frequente, pode oc<span class="blank _0"></span>orrer em<span class="blank _0"></span> </div><div class="t m0 x2 h3 y23 ff1 fs1 fc1 sc0 lsa ws21">até 20% dos casos.<span class="fs2 lsb v1">1</span> É, geralmente<span class="blank _0"></span>, assimétric<span class="blank _0"></span>o,<span class="blank _0"></span> </div><div class="t m0 x2 h3 y24 ff1 fs1 fc1 sc0 lsa ws22">causando propor<span class="blank _0"></span>cionalmente menores sequelas<span class="blank _0"></span> </div><div class="t m0 x2 h3 y25 ff1 fs1 fc1 sc0 lsa ws23">por erosões ós<span class="blank _0"></span>seas e tenosino<span class="blank _0"></span>vite do que nos </div><div class="t m0 x2 h3 y26 ff1 fs1 fc1 sc0 lsa ws24">adultos. A sinovite psoriásica é potencialmente<span class="blank _0"></span> </div><div class="t m0 x2 h3 y27 ff1 fs1 fc1 sc0 lsa ws25">destrutiva para a cartilagem e par<span class="blank _0"></span>a o os<span class="blank _0"></span>so, po<span class="ls6">-</span></div><div class="t m0 x2 h3 y28 ff1 fs1 fc1 sc0 lsa wsa">dendo compr<span class="blank _0"></span>ometer o seu crescimento.</div><div class="t m0 xe h3 y29 ff1 fs1 fc1 sc0 lsc ws26">A sacroiliíte pode oc<span class="blank _0"></span>orrer nos pacientes c<span class="blank _0"></span>om </div><div class="t m0 x2 h3 y2a ff1 fs1 fc1 sc0 lsc ws27">início da doença mais tardio, os quais apr<span class="blank _0"></span>esen<span class="ls6">-</span></div><div class="t m0 x2 h3 y2b ff1 fs1 fc1 sc0 lsc ws28">tam um quadro que se as<span class="blank _0"></span>semelha ao dos adultos, </div><div class="t m0 x2 h3 y2c ff1 fs1 fc1 sc0 lsc ws29">como maior fr<span class="blank _0"></span>equência de entesite e HLAB27 po<span class="ls6">-</span></div><div class="t m0 x2 h7 y2d ff5 fs1 fc1 sc0 lsc ws19">\ue652\ue648\ue653\ue648\ue655\ue64e<span class="blank _0"></span>\ue60d\ue603<span class="blank"> </span>\ue624\ue64d\ue653\ue651\ue644\ue653\ue640\ue64d\ue653\ue64e\ue60b\ue603<span class="blank"> </span>\ue64e\ue603<span class="blank"> </span>\ue642<span class="blank _0"></span>\ue64e\ue64c\ue64f\ue651\ue64e\ue64c\ue644\ue653\ue648\ue64c\ue644\ue64d\ue653\ue64e\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y2e ff1 fs1 fc1 sc0 lsc ws2a">tório da coluna é pouc<span class="blank _0"></span>o frequente, sendo r<span class="blank _0"></span>elata<span class="ls6">-</span></div><div class="t m0 x2 h3 y2f ff1 fs1 fc1 sc0 lsc ws2b">do em menos de 5% dos casos e menos grav<span class="blank _0"></span>e do </div><div class="t m0 x2 h3 y30 ff1 fs1 fc1 sc0 lsc wsa">que o que ocorr<span class="blank _0"></span>e na espondilite anquilosante.<span class="fs2 ls6 v1">2</span></div><div class="t m0 xe h7 y31 ff5 fs1 fc1 sc0 lsc ws1a">\ue62d\ue640\ue603<span class="blank"> </span>\ue644\ue64d\ue653\ue644\ue652\ue648\ue653\ue644\ue60b\ue603<span class="blank"> </span>\ue64e\ue642\ue64e\ue651\ue651<span class="blank _0"></span>\ue644\ue603<span class="blank"> </span>\ue640\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue6a2\ue69e\ue64e\ue603<span class="blank"> </span>\ue64d\ue640\ue603<span class="blank"> </span>\ue648\ue64d\ue652\ue644\ue651\ue6a2\ue69e\ue64e<span class="blank _0"></span>\ue603</div><div class="t m0 x2 h3 y32 ff1 fs1 fc1 sc0 lsc ws2c">de tendões, ligamentos, ou fáscia no os<span class="blank _0"></span>so, ac<span class="blank _0"></span>o<span class="ls6">-</span></div><div class="t m0 x2 h3 y33 ff1 fs1 fc1 sc0 lsc ws2d">metendo especialmente os adolescentes c<span class="blank _0"></span>om </div><div class="t m0 x2 h3 y34 ff1 fs1 fc1 sc0 lsc ws2e">APsJ. Clinicamente caracteriza-se por dor e ede<span class="ls6">-</span></div><div class="t m0 x2 h3 y35 ff1 fs1 fc1 sc0 lsc ws2f">ma na inserção de tendões do calcâneo, da f<span class="blank _0"></span>ás<span class="ls6">-</span></div><div class="t m0 x2 h3 y36 ff1 fs1 fc1 sc0 lsc ws30">cia plantar<span class="blank _1"></span>, patela, crista ilíaca, c<span class="blank _0"></span>ôndilo medial </div><div class="t m0 x2 h3 y37 ff1 fs1 fc1 sc0 lsc ws31">f<span class="blank _0"></span>emoral e epicôndilo later<span class="blank _0"></span>al do coto<span class="blank _0"></span>velo<span class="blank _0"></span>. A sua </div><div class="t m0 x2 h7 y38 ff5 fs1 fc1 sc0 lsc ws1b">\ue643\ue644\ue653\ue644\ue642\ue6a2\ue69e\ue64e\ue603\ue642\ue64b\ue6a8\ue64d\ue648\ue642\ue640\ue60b\ue603<span class="blank"> </span>\ue64f\ue644\ue64b\ue640\ue603<span class="blank"> </span>\ue64f\ue640\ue64b\ue64f\ue640\ue6a2\ue69e\ue64e\ue60b\ue603<span class="blank"> </span>\ue64f\ue64e\ue643\ue644\ue603<span class="blank"> </span>\ue652\ue644\ue651\ue603<span class="blank"> </span>\ue642\ue64e\ue64d\ue7a5\ue651<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y39 ff1 fs1 fc1 sc0 lsc ws32">mada pelo ultras<span class="blank _0"></span>som ou pela res<span class="blank _1"></span>sonância mag<span class="ls6">-</span></div><div class="t m0 x2 h3 y3a ff1 fs1 fc1 sc0 lsc ws1c">nética.<span class="fs2 ls6 v1">7</span></div><div class="t m0 xe h3 y3b ff1 fs1 fc1 sc0 lsc ws33">A dactilite é caracterizada por edema em<span class="blank _0"></span> </div><div class="t m0 x2 h3 y3c ff1 fs1 fc1 sc0 lsc ws34">pequenas articulações que se estende além da<span class="blank _0"></span> </div><div class="t m0 x2 h3 y3d ff1 fs1 fc1 sc0 lsc ws35">articulação, dando o aspecto de dedo em salsi<span class="ls6">-</span></div><div class="t m0 x2 h3 y3e ff1 fs1 fc1 sc0 lsc ws36">cha ou fusif<span class="blank _0"></span>orme, e também pode ser observada </div><div class="t m0 x2 h3 y3f ff1 fs1 fc1 sc0 lsc ws37">em crianças com APsJ. Nes<span class="blank _0"></span>ses casos, um achado </div><div class="t m0 x2 h7 y40 ff5 fs1 fc1 sc0 lsc ws1d">\ue645\ue651\ue644\ue650\ue654\ue644\ue64d\ue653\ue644\ue603<span class="blank"> </span>\ue6a4\ue603<span class="blank"> </span>\ue640\ue603<span class="blank"> </span>\ue653\ue644\ue64d\ue64e\ue652<span class="blank _0"></span>\ue652\ue648\ue64d\ue64e<span class="blank _0"></span>\ue655\ue648\ue653\ue644\ue603<span class="blank"> </span>\ue643\ue64e\ue652\ue603<span class="blank"> </span>\ue653\ue644\ue64d\ue643\ue6b0\ue644\ue652\ue603<span class="blank"> </span>\ue7a6\ue644\ue657\ue64e<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y41 ff1 fs1 fc1 sc0 lsc ws38">res. O segundo artelho e o indicador são os mais<span class="blank _0"></span> </div><div class="t m0 x2 h3 y42 ff1 fs1 fc1 sc0 lsc ws39">acometidos. A dactilite pode ser a manif<span class="blank _0"></span>estação </div><div class="t m0 x2 h3 y43 ff1 fs1 fc1 sc0 lsc ws3a">musculoesquelética inicial em alguns pacientes </div><div class="t m0 x2 h3 y44 ff1 fs1 fc1 sc0 lsc wsa">com psoríase.<span class="fs2 ls6 v1">8</span></div><div class="t m0 xf h6 y45 ff3 fs4 fc1 sc0 ls7 ws1e">\ue624\ue603\ue624\ue633\ue7ee\ue62d\ue603\ue7eb\ue7ea\ue7df\ue7e0\ue603\ue7de\ue7f0\ue7ed\ue7ee\ue7dc\ue7ed\ue603\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue603</div><div class="t m0 xf h6 y46 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7e8\ue7dc\ue7e9\ue7e4\ue7e1\ue7e0\ue7ee\ue7ef<span class="blank _1"></span>\ue7dc\ue81e<span class="blank _0"></span>\ue845\ue7e0\ue7ee\ue603\ue7e0\ue7f3\ue7ef\ue7ed\ue7dc<span class="blank _0"></span>\ue610<span class="blank _0"></span>\ue7dc\ue7ed\ue7ef\ue7e4\ue7de\ue7f0\ue7e7\ue7dc\ue7ed\ue7e0\ue7ee\ue80c</div><div class="t m0 xe h3 y47 ff1 fs1 fc1 sc0 lsc ws3b">As manif<span class="blank _0"></span>estações constitucionais c<span class="blank _0"></span>omo ano<span class="ls6">-</span></div><div class="t m0 x2 h3 y48 ff1 fs1 fc1 sc0 lsc ws3c">re<span class="blank _0"></span>xia, anemia e retar<span class="blank _0"></span>do do desenv<span class="blank _0"></span>olvimento <span class="blank _8"></span><span class="ls6 wsa"> </span></div><div class="t m0 x2 h3 y49 ff1 fs1 fc1 sc0 lsc ws3d">podem ocorr<span class="blank _0"></span>er nos pacientes com quadr<span class="blank _0"></span>o poliar<span class="ls6">-</span></div><div class="t m0 x2 h3 y4a ff1 fs1 fc1 sc0 lsc wsa">ticular mais grav<span class="blank _0"></span>e.</div><div class="t m0 x7 h3 y22 ff1 fs1 fc1 sc0 ls0 ws3e">ocasiões dentro de um intervalo de tr<span class="blank _0"></span>ês meses, </div><div class="t m0 x7 h3 y23 ff1 fs1 fc1 sc0 ls0 ws3e">f<span class="blank _0"></span>or menino com mais de seis anos e apresentar<span class="blank _0"></span> </div><div class="t m0 x7 h3 y24 ff1 fs1 fc1 sc0 ls0 ws3f">HLAB27 positivo<span class="blank _0"></span>, ou tiver um par<span class="blank _0"></span>ente de primeiro </div><div class="t m0 x7 h3 y25 ff1 fs1 fc1 sc0 ls0 ws40">grau c<span class="blank _0"></span>om doença associada ao HLAB27 positiv<span class="blank _0"></span>o, </div><div class="t m0 x7 h3 y26 ff1 fs1 fc1 sc0 ls0 ws41">o diagnóstico de APsJ não pode ser c<span class="blank _0"></span>onsiderado.<span class="fs2 ls6 v1">3</span></div><div class="t m0 x5 h6 y4b ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e4\ue7ee\ue603\ue7ee\ue817<span class="blank _0"></span>\ue7ea\ue603\ue7dc\ue603\ue7eb\ue7ed\ue7e0\ue7f1<span class="blank _1"></span>\ue7dc\ue7e7\ue823\ue7e9\ue7de\ue7e4\ue7dc\ue603<span class="ls6">\ue603</span></div><div class="t m0 x5 h6 y4c ff3 fs4 fc1 sc0 ls7 ws1e">\ue7e0\ue603\ue7dc\ue603\ue7df\ue7e4\ue7ee\ue7ef\ue7ed\ue7e4\ue7dd\ue7f0\ue7e4\ue81e\ue817\ue7ea\ue603\ue7eb\ue7ea\ue7ed\ue603\ue7ee\ue7e0\ue7f3<span class="blank _0"></span>\ue7ea\ue603<span class="ls6">\ue603</span></div><div class="t m0 x5 h6 y4d ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7ea\ue7ee\ue603\ue7eb<span class="blank _1"></span>\ue7dc\ue7de\ue7e4\ue7e0\ue7e9\ue7ef\ue7e0\ue7ee\ue603\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h3 y4e ff1 fs1 fc1 sc0 lsc ws3e">Ainda pouco se sabe sobr<span class="blank _0"></span>e a epidemiologia </div><div class="t m0 x7 h3 y4f ff1 fs1 fc1 sc0 lsc ws42">da APsJ, bem como sobr<span class="blank _0"></span>e os fator<span class="blank _0"></span>es de risco </div><div class="t m0 x7 h3 y50 ff1 fs1 fc1 sc0 lsc ws17">para os pacientes c<span class="blank _0"></span>om psoríase desenv<span class="blank _0"></span>olv<span class="blank _0"></span>erem </div><div class="t m0 x7 h3 y51 ff1 fs1 fc1 sc0 lsc ws43">artrite. Estima-se que a propor<span class="blank _0"></span>ção de pacientes </div><div class="t m0 x7 h3 y52 ff1 fs1 fc1 sc0 lsc wsa">com APsJ seja de 5% a 20% de todos os pacien<span class="ls6">-</span></div><div class="t m0 x7 h3 y53 ff1 fs1 fc1 sc0 lsc ws44">tes com AIJ, variando de ac<span class="blank _0"></span>ordo c<span class="blank _0"></span>om a popula<span class="ls6">-</span></div><div class="t m0 x7 h3 y54 ff1 fs1 fc1 sc0 lsc ws20">ção e com os critérios diagnóstic<span class="blank _0"></span>os utilizados.<span class="fs2 lsd ws1f v1">1-6</span><span class="ls6 wsa"> <span class="blank _5"></span> </span></div><div class="t m0 x7 h3 y55 ff1 fs1 fc1 sc0 lsc wsa">Não há predileção por r<span class="blank _0"></span>aça<span class="fs2 lse v1">1</span><span class="ls6">.</span></div><div class="t m0 x6 h3 y56 ff1 fs1 fc1 sc0 ls6 ws42">Nem todas as crianças e adolescentes c<span class="blank _0"></span>om </div><div class="t m0 x7 h3 y57 ff1 fs1 fc1 sc0 ls6 ws45">psoríase desenv<span class="blank _0"></span>olv<span class="blank _0"></span>em artrite. A APsJ predomina </div><div class="t m0 x7 h3 y58 ff1 fs1 fc1 sc0 ls6 ws46">em meninas em todas as faixas etárias. É rar<span class="blank _0"></span>a an-</div><div class="t m0 x7 h3 y59 ff1 fs1 fc1 sc0 ls6 ws47">tes de um ano de idade. O início das suas manif<span class="blank _0"></span>es-</div><div class="t m0 x7 h3 y5a ff1 fs1 fc1 sc0 ls6 ws48">tações apr<span class="blank _0"></span>esenta pico na idade pr<span class="blank _0"></span>é escolar<span class="blank _9"></span>, princi-</div><div class="t m0 x7 h3 y5b ff1 fs1 fc1 sc0 ls6 wsa">palmente em meninas, e outro na adolesc<span class="blank _0"></span>ência.<span class="fs2 v1">1</span></div><div class="t m0 x5 h6 y5c ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e4\ue7ee\ue603\ue7ee\ue817<span class="blank _0"></span>\ue7ea\ue603\ue7dc\ue7ee\ue603\ue7eb\ue7ed\ue7e4\ue7e9\ue7de\ue7e4\ue7eb<span class="blank _1"></span>\ue7dc\ue7e4\ue7ee\ue603<span class="ls6">\ue603</span></div><div class="t m0 x5 h6 y5d ff3 fs4 fc1 sc0 ls7 ws1e">\ue7e8\ue7dc\ue7e9\ue7e4\ue7e1\ue7e0\ue7ee\ue7ef<span class="blank _1"></span>\ue7dc\ue81e<span class="blank _0"></span>\ue845\ue7e0\ue7ee\ue603\ue7de\ue7e7\ue830\ue7e9\ue7e4\ue7de\ue7dc\ue7ee\ue603\ue7df<span class="blank _0"></span>\ue7dc\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h3 y5e ff1 fs1 fc1 sc0 lsa ws49">Ao contr<span class="blank _0"></span>ário dos adultos, nas crianças e ado<span class="ls6">-</span></div><div class="t m0 x7 h3 y5f ff1 fs1 fc1 sc0 lsa ws4a">lescentes c<span class="blank _0"></span>om APsJ a artrite prec<span class="blank _0"></span>ede o compr<span class="blank _0"></span>o<span class="ls6">-</span></div><div class="t m0 x7 h3 y60 ff1 fs1 fc1 sc0 lsa ws4b">metimento cutâneo em até metade dos casos<span class="fs2 lsb v1">3</span><span class="ls6 wsa">. </span></div><div class="t m0 x7 h3 y61 ff1 fs1 fc1 sc0 lsa ws4c">A artrite crônica em até 4 articulaç<span class="blank _0"></span>ões (oligo<span class="ls6">-</span></div><div class="t m0 x7 h3 y62 ff1 fs1 fc1 sc0 lsa ws4d">articular) é a principal manif<span class="blank _0"></span>estação clínica em </div><div class="t m0 x7 h3 y63 ff1 fs1 fc1 sc0 lsa ws4e">até 80% dos pacientes. Entretanto, c<span class="blank _0"></span>om certa<span class="blank _0"></span> </div><div class="t m0 x7 h3 y64 ff1 fs1 fc1 sc0 lsa ws4f">frequência observa-se monoartrite ou dactili<span class="ls6">-</span></div><div class="t m0 x7 h3 y65 ff1 fs1 fc1 sc0 lsa ws50">te isolada como manif<span class="blank _0"></span>estação inicial da APsJ. </div><div class="t m0 x7 h3 y66 ff1 fs1 fc1 sc0 lsa ws51">Joelhos e tornoz<span class="blank _0"></span>elos são as articulações mais<span class="blank _0"></span> </div><div class="t m0 x7 h3 y67 ff1 fs1 fc1 sc0 lsa ws52">acometidas, por<span class="blank _0"></span>ém artrite em quadris, punhos e </div><div class="t m0 x7 h3 y68 ff1 fs1 fc1 sc0 lsa ws53">pequenas articulações das mãos também pode<span class="blank _0"></span> </div><div class="t m0 x7 h3 y69 ff1 fs1 fc1 sc0 lsa ws54">ser observada. O compr<span class="blank _0"></span>ometimento de mais de </div><div class="t m0 x7 h3 y6a ff1 fs1 fc1 sc0 lsa ws55">4 articulações (poliarticular) no início do qua<span class="ls6">-</span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 he" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg3.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls6">3</div><div class="t m0 xd hd y21 ff7 fs5 fc0 sc0 ls10 ws5f">Dep<span class="blank _0"></span>art<span class="blank _1"></span>amento Científic<span class="blank _0"></span>o de Reuma<span class="blank _1"></span>tologia (<span class="blank _0"></span>gest<span class="blank _0"></span>ão <span class="blank _0"></span>2022-<span class="blank _0"></span>2024) <span class="blank _0"></span>\u2022 Sociedade <span class="blank _0"></span>Brasileira de Pedia<span class="blank _1"></span>tria</div><div class="t m0 x6 h3 y22 ff1 fs1 fc1 sc0 lsc ws2b">O compr<span class="blank _0"></span>ometimento cutâneo que predomina<span class="blank _0"></span> </div><div class="t m0 x7 h3 y23 ff1 fs1 fc1 sc0 lsc ws60">na infância é a psoríase na f<span class="blank _0"></span>orma vulgar clás<span class="blank _0"></span>sica. </div><div class="t m0 x7 h3 y24 ff1 fs1 fc1 sc0 lsc ws61">A f<span class="blank _0"></span>orma <span class="ff2 ws56">gutata</span> é a menos frequente, sendo as<span class="blank _0"></span> </div><div class="t m0 x7 h3 y25 ff1 fs1 fc1 sc0 lsc ws62">f<span class="blank _0"></span>ormas pustular e eritrodérmica mais rar<span class="blank _0"></span>as.<span class="fs2 lsd v1">1</span><span class="ls6 ws63"> As </span></div><div class="t m0 x7 h3 y26 ff1 fs1 fc1 sc0 lsc ws64">lesões podem ser observadas na linha de implan<span class="ls6">-</span></div><div class="t m0 x7 h3 y27 ff1 fs1 fc1 sc0 lsc ws65">tação do cabelo, no umbigo, atr<span class="blank _0"></span>ás das orelhas e<span class="blank _0"></span> </div><div class="t m0 x7 h3 y28 ff1 fs1 fc1 sc0 lsc ws66">na prega inter<span class="blank _0"></span>glútea.<span class="fs2 lsd v1">4</span> Podem pas<span class="blank _0"></span>sar desper<span class="blank _0"></span>ce<span class="ls6">-</span></div><div class="t m0 x7 h3 y6b ff1 fs1 fc1 sc0 lsc ws67">bidas no início do quadro ou ser<span class="blank _0"></span>em confundidas<span class="blank _0"></span> </div><div class="t m0 x7 h3 y6c ff1 fs1 fc1 sc0 lsc wsa">com ecz<span class="blank _0"></span>ema.</div><div class="t m0 x6 h3 y2b ff1 fs1 fc1 sc0 lsc ws68">As alteraç<span class="blank _0"></span>ões ungueais são caracterizadas por </div><div class="t m0 x7 h3 y2c ff2 fs1 fc1 sc0 lsc ws56">pitting<span class="ff1 ws69">, onicólise, desc<span class="blank _0"></span>oloração e hiper<span class="blank _0"></span>queratose </span></div><div class="t m0 x7 h3 y2d ff1 fs1 fc1 sc0 lsc ws6a">subungueal, ocorr<span class="blank _0"></span>endo com maior fr<span class="blank _0"></span>equência </div><div class="t m0 x7 h3 y2e ff1 fs1 fc1 sc0 lsc ws6b">naqueles com o c<span class="blank _0"></span>omprometimento musculoes<span class="ls6">-</span></div><div class="t m0 x7 h3 y2f ff1 fs1 fc1 sc0 lsc ws6c">quelético e cutâneo. Outr<span class="blank _0"></span>os pos<span class="blank _0"></span>síveis achados<span class="blank _0"></span> </div><div class="t m0 x7 h3 y30 ff1 fs1 fc1 sc0 lsc ws6d">na psoríase ungueal são as \u201cmanchas de óleo\u201d<span class="blank _0"></span> </div><div class="t m0 x7 h3 y6d ff1 fs1 fc1 sc0 lsc ws6e">que são áreas c<span class="blank _0"></span>om pigmentação acastanhada, e </div><div class="t m0 x7 h3 y6e ff1 fs1 fc1 sc0 lsc ws6f">as hemorragias \u201c<span class="blank _0"></span>em estilhaço<span class="blank _0"></span>\u201d, estas ocasiona<span class="ls6">-</span></div><div class="t m0 x7 h3 y6f ff1 fs1 fc1 sc0 lsc ws70">das por sangramento de capilar<span class="blank _0"></span>es do leito un<span class="ls6">-</span></div><div class="t m0 x7 h3 y70 ff1 fs1 fc1 sc0 lsc ws1c">gueal.<span class="fs2 lse v1">9</span><span class="ws71"> A presença de alter<span class="blank _0"></span>ações ungueais pode </span></div><div class="t m0 x7 h3 y71 ff1 fs1 fc1 sc0 lsc wsf">ser as<span class="blank _0"></span>sociada ao env<span class="blank _0"></span>olvimento das articulaç<span class="blank _0"></span>ões </div><div class="t m0 x7 h3 y72 ff1 fs1 fc1 sc0 lsc wsa">interfalangeanas distais.</div><div class="t m0 x6 h3 y37 ff1 fs1 fc1 sc0 lsc ws72">A uveíte anterior cr<span class="blank _0"></span>ônica ocorr<span class="blank _0"></span>e em até 15% </div><div class="t m0 x7 h3 y38 ff1 fs1 fc1 sc0 lsc ws61">dos pacientes com APsJ. Uv<span class="blank _0"></span>eíte anterior aguda </div><div class="t m0 x7 h3 y39 ff1 fs1 fc1 sc0 lsc ws73">pode ocorr<span class="blank _0"></span>er nos adolescentes estando as<span class="blank _0"></span>socia<span class="ls6">-</span></div><div class="t m0 x7 h3 y3a ff1 fs1 fc1 sc0 lsc wsa">da com HLA B27 positiv<span class="blank _0"></span>o.<span class="fs2 lsd v1">1,4</span></div><div class="t m0 x6 h3 y3b ff1 fs1 fc1 sc0 lsc ws70">Obesidade, colite e osteomielite não inf<span class="blank _1"></span>ec<span class="ls6">-</span></div><div class="t m0 x7 h3 y3c ff1 fs1 fc1 sc0 lsc ws75">ciosa crônica (CNO) têm sido r<span class="blank _0"></span>elatadas em pa<span class="ls6">-</span></div><div class="t m0 x7 h3 y3d ff1 fs1 fc1 sc0 lsc wsa">cientes com APsJ<span class="fs2 lsd ws1f v1">1,10</span><span class="ls6">.</span></div><div class="t m0 x5 h6 y73 ff3 fs4 fc1 sc0 ls7 ws1e">\ue626\ue7ea\ue7e8\ue7ea\ue603\ue822\ue603\ue7ed\ue7e0\ue7dc\ue7e7\ue7e4\ue7f5\ue7dc\ue7df\ue7ea\ue603\ue7ea<span class="blank _0"></span>\ue603<span class="ls6">\ue603</span></div><div class="t m0 x5 h6 y74 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7e4\ue7dc\ue7e2\ue7e9\ue843\ue7ee\ue7ef\ue7e4\ue7de<span class="blank _1"></span>\ue7ea\ue603\ue7df\ue7dc\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h7 y75 ff5 fs1 fc1 sc0 lsc ws57">\ue62e\ue603<span class="blank"> </span>\ue643\ue648\ue640\ue646\ue64d\ue6ae\ue652\ue653\ue648\ue642\ue64e\ue603<span class="blank"> </span>\ue643\ue644\ue7a5\ue64d\ue648\ue653\ue648\ue655<span class="blank _0"></span>\ue64e\ue603<span class="blank"> </span>\ue643\ue640\ue603<span class="blank"> </span>\ue620\ue62f\ue652\ue629\ue603<span class="blank"> </span>\ue6a4\ue60b\ue603<span class="blank"> </span>\ue646<span class="blank _0"></span>\ue644\ue651\ue640\ue64b<span class="ff1 ls6">-</span></div><div class="t m0 x7 h7 y76 ff5 fs1 fc1 sc0 lsc ws58">\ue64c\ue644\ue64d\ue653\ue644\ue60b\ue603<span class="blank"> </span>\ue654\ue64c\ue603<span class="blank"> </span>\ue643\ue644\ue652\ue640\ue7a5\ue64e\ue603<span class="blank"> </span>\ue64f\ue64e\ue651\ue650\ue654\ue644\ue603<span class="blank"> </span>\ue64e\ue603<span class="blank"> </span>\ue642<span class="blank _0"></span>\ue64e\ue64c\ue64f\ue651\ue64e\ue64c\ue644\ue653\ue648\ue64c\ue644\ue64d\ue653\ue64e<span class="blank _0"></span>\ue603</div><div class="t m0 x7 h3 y77 ff1 fs1 fc1 sc0 lsc ws76">articular pode não acompanhar o c<span class="blank _0"></span>omprome<span class="ls6">-</span></div><div class="t m0 x7 h3 y78 ff1 fs1 fc1 sc0 lsc ws77">timento cutâneo. A artrite pode anteceder em<span class="blank _0"></span> </div><div class="t m0 x7 h3 y79 ff1 fs1 fc1 sc0 lsc ws78">anos o compr<span class="blank _0"></span>ometimento cutâneo e o quadro ser<span class="blank _0"></span> </div><div class="t m0 x7 h3 y7a ff1 fs1 fc1 sc0 lsc ws79">diagnosticado como AIJ olig<span class="blank _0"></span>oarticular de início </div><div class="t m0 x7 h3 y7b ff1 fs1 fc1 sc0 lsc ws35">prec<span class="blank _0"></span>oce. O quadr<span class="blank _0"></span>o clás<span class="blank _0"></span>sico da artrite psoriásica </div><div class="t m0 x7 h3 y7c ff1 fs1 fc1 sc0 lsc ws7a">pode ser encontr<span class="blank _0"></span>ado em adolescentes c<span class="blank _0"></span>om pso<span class="ls6">-</span></div><div class="t m0 x7 h3 y7d ff1 fs1 fc1 sc0 lsc ws7b">ríase vulgar<span class="blank _9"></span>, entesite e dactilite. Considerando<span class="blank _0"></span> </div><div class="t m0 x7 h3 y7e ff1 fs1 fc1 sc0 lsc ws7c">estas dif<span class="blank _0"></span>erentes f<span class="blank _0"></span>ormas de apresentação poderí<span class="ls6">-</span></div><div class="t m0 x7 h7 y7f ff5 fs1 fc1 sc0 lsc ws59">\ue640\ue64c\ue64e\ue652\ue603\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue651\ue603\ue640\ue603<span class="blank"> </span>\ue620\ue62f\ue652\ue629\ue603<span class="blank"> </span>\ue644\ue64c\ue603<span class="blank"> </span>\ue643\ue64e\ue648\ue652\ue603<span class="blank"> </span>\ue645\ue644\ue64d\ue6ae\ue653\ue648\ue64f\ue64e\ue652\ue603\ue643\ue648\ue652\ue653\ue648\ue64d<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y22 ff1 fs1 fc1 sc0 lsc ws7d">tos: um semelhante à AIJ oligoarticular de início </div><div class="t m0 x2 h3 y23 ff1 fs1 fc1 sc0 lsc ws7e">prec<span class="blank _0"></span>oce e outr<span class="blank _0"></span>o semelhante à artrite relacionada </div><div class="t m0 x2 h3 y24 ff1 fs1 fc1 sc0 lsc ws2e">à entesite e à artrite psoriásica do adulto. A sus<span class="ls6">-</span></div><div class="t m0 x2 h3 y25 ff1 fs1 fc1 sc0 lsc ws38">peita diagnóstica é f<span class="blank _0"></span>eita pelo pediatra, que dev<span class="blank _1"></span>e </div><div class="t m0 x2 h3 y26 ff1 fs1 fc1 sc0 lsc ws7f">ref<span class="blank _1"></span>erenciar o paciente ao reumatologista pediá<span class="ls6">-</span></div><div class="t m0 x2 h7 y27 ff5 fs1 fc1 sc0 lsc ws1c">\ue653\ue651\ue648\ue642\ue64e\ue603\ue64f\ue640\ue651\ue640\ue603\ue642\ue64e\ue64d\ue7a5\ue651\ue64c\ue640\ue651\ue603\ue64e\ue603\ue643\ue648\ue640\ue646\ue64d\ue6ae\ue652\ue653\ue648\ue642\ue64e\ue603\ue644\ue603\ue648\ue64d\ue648\ue642\ue648\ue640\ue651\ue603\ue64e\ue603<span class="blank _7"> </span>\ue653\ue651\ue640<span class="ff1 ls6">-</span></div><div class="t m0 x2 h7 y28 ff5 fs1 fc1 sc0 lsc ws1c">\ue653\ue640\ue64c\ue644\ue64d\ue653\ue64e\ue603\ue644\ue652\ue64f\ue644\ue642\ue6a8\ue7a5\ue642\ue64e\ue60d</div><div class="t m0 xe h7 y29 ff5 fs1 fc1 sc0 ls0 ws5a">\ue624\ue657\ue648\ue652\ue653\ue644\ue64c\ue603<span class="blank"> </span>\ue642\ue651\ue648\ue653\ue6a4\ue651\ue648\ue64e\ue652\ue603<span class="blank"> </span>\ue643\ue648\ue652\ue653\ue648\ue64d\ue653\ue64e\ue652\ue603<span class="blank"> </span>\ue643\ue644\ue603<span class="blank"> </span>\ue642\ue64b\ue640\ue652<span class="blank _0"></span>\ue652\ue648\ue7a5\ue642\ue640\ue6a2\ue69e\ue64e\ue603</div><div class="t m0 x2 h3 y2a ff1 fs1 fc1 sc0 ls0 ws69">para a APsJ (T<span class="blank _9"></span>abela 1)<span class="fs2 ls1 ws2 v1">11</span>: os critérios de V<span class="blank _0"></span>ancouv<span class="blank _0"></span>er </div><div class="t m0 x2 h3 y2b ff1 fs1 fc1 sc0 ls0 ws80">e os critérios da Liga de As<span class="blank _0"></span>sociações par<span class="blank _0"></span>a a Reu<span class="ls6">-</span></div><div class="t m0 x2 h3 y2c ff1 fs1 fc1 sc0 ls0 ws49">matologia (ILAR). Os critérios da ILAR são os mais </div><div class="t m0 x2 h3 y2d ff1 fs1 fc1 sc0 ls0 ws12">utilizados; entretanto<span class="blank _0"></span>, ainda não há consenso so<span class="ls6">-</span></div><div class="t m0 x2 h7 y2e ff5 fs1 fc1 sc0 ls0 ws1">\ue641\ue651\ue644\ue603\ue650\ue654\ue640\ue64b\ue603\ue652\ue644\ue651\ue648\ue640\ue603\ue64e\ue603\ue64c\ue644\ue64b\ue647\ue64e\ue651\ue603\ue64f\ue640\ue651<span class="blank _0"></span>\ue640\ue603\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue651\ue603\ue640\ue603\ue620\ue62f\ue652\ue629<span class="ff1 fs2 lsf v1">2</span><span class="ff1 ls6">.</span></div><div class="t m0 xe h3 y80 ff1 fs1 fc1 sc0 lsc ws70">Em um estudo com 440 pacientes c<span class="blank _0"></span>om AIJ, </div><div class="t m0 x2 h3 y81 ff1 fs1 fc1 sc0 lsc ws36">utilizando os critérios da ILAR, os autores obser<span class="ls6">-</span></div><div class="t m0 x2 h3 y31 ff1 fs1 fc1 sc0 lsc ws81">varam psoríase em 14 crianças e rash cutâneo ti<span class="ls6">-</span></div><div class="t m0 x2 h3 y32 ff1 fs1 fc1 sc0 lsc ws82">po-psoríase em 13. Somente 8 dos 14 pacientes </div><div class="t m0 x2 h7 y33 ff5 fs1 fc1 sc0 lsc ws5b">\ue642\ue64e\ue64c\ue603\ue64f\ue652\ue64e\ue651\ue6a8\ue640\ue652\ue644\ue603<span class="blank"> </span>\ue645\ue64e\ue651\ue640\ue64c\ue603\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue643\ue64e\ue652\ue603\ue642\ue64e\ue64c\ue603<span class="blank"> </span>\ue620\ue62f\ue652\ue629\ue603<span class="blank"> </span>\ue654\ue653\ue648\ue64b\ue648<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y34 ff1 fs1 fc1 sc0 lsc ws83">zando-se os critérios da ILAR, os outros 6 f<span class="blank _1"></span>oram </div><div class="t m0 x2 h7 y35 ff5 fs1 fc1 sc0 lsc ws5c">\ue642\ue64b\ue640\ue652<span class="blank _0"></span>\ue652\ue648\ue7a5\ue642\ue640\ue643\ue64e\ue652\ue603<span class="blank"> </span>\ue642\ue64e\ue64c\ue64e\ue603\ue620\ue628\ue629\ue603<span class="blank"> </span>\ue648\ue64d\ue643\ue648\ue645\ue644\ue651<span class="blank _0"></span>\ue644\ue64d\ue642\ue648\ue640\ue643\ue640\ue60d\ue603<span class="blank"> </span>\ue628\ue652\ue653\ue64e\ue603<span class="blank"> </span>\ue651\ue644\ue645<span class="blank _0"></span>\ue64e\ue651<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y36 ff1 fs1 fc1 sc0 lsc ws84">ça a neces<span class="blank _0"></span>sidade de r<span class="blank _0"></span>evisão futur<span class="blank _0"></span>a dos critérios </div><div class="t m0 x2 h7 y37 ff5 fs1 fc1 sc0 lsc ws5d">\ue643\ue644\ue603<span class="blank"> </span>\ue642\ue64b\ue640\ue652<span class="blank _0"></span>\ue652\ue648\ue7a5\ue642\ue640\ue6a2\ue69e\ue64e\ue603<span class="blank"> </span>\ue643\ue640\ue603<span class="blank"> </span>\ue620\ue628\ue629\ue603<span class="blank"> </span>\ue642\ue64e\ue64c\ue603<span class="blank"> </span>\ue64e\ue603<span class="blank"> </span>\ue645<span class="blank _0"></span>\ue64e\ue642\ue64e\ue603\ue64d\ue644\ue652\ue653\ue644\ue603<span class="blank"> </span>\ue652\ue654\ue641\ue653\ue648\ue64f\ue64e\ue603</div><div class="t m0 x2 h3 y38 ff1 fs1 fc1 sc0 lsc ws7f">de AIJ, visando facilitar o seu diagnóstic<span class="blank _0"></span>o e me<span class="ls6">-</span></div><div class="t m0 x2 h3 y39 ff1 fs1 fc1 sc0 lsc wsa">lhorar o seu pr<span class="blank _0"></span>ognóstico<span class="fs2 ls6 v1">6</span></div><div class="t m0 xe h3 y82 ff1 fs1 fc1 sc0 lsc ws85">História clínica e familiar detalhadas são </div><div class="t m0 x2 h3 y3b ff1 fs1 fc1 sc0 lsc ws86">neces<span class="blank _0"></span>sárias (indagando sobr<span class="blank _0"></span>e psoríase, artrite </div><div class="t m0 x2 h7 y3c ff5 fs1 fc1 sc0 lsc ws1c">\ue651\ue644\ue640\ue653\ue648\ue655\ue640\ue60b\ue603<span class="blank _1"></span>\ue644\ue652\ue64f\ue64e\ue64d\ue643\ue648\ue64b\ue64e\ue640\ue651\ue653\ue651\ue648\ue653\ue644\ue60b\ue603\ue643\ue64e\ue644\ue64d\ue6a2\ue640\ue603<span class="blank _0"></span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue640\ue603<span class="blank _0"></span>\ue648\ue64d<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y3d ff1 fs1 fc1 sc0 lsc ws41">testinal, uveíte), além de e<span class="blank _0"></span>xame físico minucioso<span class="blank _0"></span> </div><div class="t m0 x2 h3 y3e ff1 fs1 fc1 sc0 lsc ws87">direcionam a subsequente in<span class="blank _0"></span>vestigação c<span class="blank _0"></span>om<span class="ls6">-</span></div><div class="t m0 x2 h7 y3f ff5 fs1 fc1 sc0 lsc ws5e">\ue64f\ue64b\ue644\ue64c\ue644\ue64d\ue653\ue640\ue651<span class="blank _9"></span>\ue60d\ue603<span class="blank"> </span>\ue62e\ue603<span class="blank"> </span>\ue644\ue657\ue640\ue64c\ue644\ue603<span class="blank"> </span>\ue645\ue6a8\ue652\ue648\ue642\ue64e\ue603<span class="blank"> </span>\ue643\ue644<span class="blank _0"></span>\ue655\ue644\ue651<span class="blank _0"></span>\ue69c\ue603<span class="blank"> </span>\ue648\ue643\ue644\ue64d\ue653\ue648\ue7a5\ue642\ue640\ue651\ue603<span class="blank"> </span>\ue652\ue644\ue603</div><div class="t m0 x2 h3 y40 ff1 fs1 fc1 sc0 lsc ws88">existe artrite, dactilite, entesite e outr<span class="blank _0"></span>as mani<span class="ls6">-</span></div><div class="t m0 x2 h3 y41 ff1 fs1 fc1 sc0 lsc ws89">f<span class="blank _0"></span>estações extr<span class="blank _0"></span>a-articulares.<span class="fs2 lsd ws1f v1">1,2</span> Nem sempr<span class="blank _0"></span>e a dor </div><div class="t m0 x2 h3 y42 ff1 fs1 fc1 sc0 lsc ws8a">é uma queixa da história. O aumento do volume<span class="blank _0"></span> </div><div class="t m0 x2 h3 y43 ff1 fs1 fc1 sc0 lsc ws8b">da articulação ou a presença de dor e limitação<span class="blank _0"></span> </div><div class="t m0 x2 h3 y44 ff1 fs1 fc1 sc0 lsc wsa">de movimentos, car<span class="blank _0"></span>acterizam a artrite.</div><div class="t m0 xf h6 y83 ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e4\ue7ee\ue603\ue7ea\ue7ee\ue603\ue7e0\ue7f3\ue7dc\ue7e8\ue7e0\ue7ee\ue603\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue7eb\ue7e7\ue7e0\ue7e8\ue7e0\ue7e9\ue7ef<span class="blank _9"></span>\ue7dc\ue7ed\ue7e0\ue7ee\ue603</div><div class="t m0 xf h6 y84 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7ec\ue7f0\ue7e0\ue603\ue7df\ue7e0\ue7f1\ue7e0\ue7e8\ue603\ue7ee\ue7e0\ue7ed\ue603\ue7ee\ue7ea\ue7e7\ue7e4\ue7de\ue7e4\ue7ef<span class="blank _1"></span>\ue7dc\ue7df\ue7ea\ue7ee\ue603\ue7eb<span class="blank _1"></span>\ue7dc\ue7ed\ue7dc\ue603\ue7ea\ue603</div><div class="t m0 xf h6 y85 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7e4\ue7dc\ue7e2\ue7e9\ue843\ue7ee\ue7ef\ue7e4\ue7de<span class="blank _1"></span>\ue7ea\ue603\ue7e0\ue603\ue7ea\ue603\ue7dc\ue7de\ue7ea\ue7e8\ue7eb<span class="blank _9"></span>\ue7dc\ue7e9\ue7e3\ue7dc\ue7e8\ue7e0\ue7e9\ue7ef\ue7ea\ue603<span class="ls6">\ue603</span></div><div class="t m0 xf h6 y86 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7ea\ue7ee\ue603\ue7eb<span class="blank _1"></span>\ue7dc\ue7de\ue7e4\ue7e0\ue7e9\ue7ef\ue7e0\ue7ee\ue603\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 xe h7 y87 ff5 fs1 fc1 sc0 lsc ws1c">\ue62e\ue603<span class="blank _0"></span>\ue64b\ue640\ue641\ue64e\ue651\ue640\ue653\ue6ae\ue651\ue648\ue64e\ue603<span class="blank _0"></span>\ue6a4\ue603<span class="blank _0"></span>\ue648\ue64d\ue644\ue652\ue64f\ue644\ue642\ue6a8\ue7a5\ue642\ue64e\ue603<span class="blank _0"></span>\ue64f\ue640\ue651\ue640\ue603<span class="blank _0"></span>\ue64e\ue603<span class="blank _0"></span>\ue643\ue648\ue640\ue646\ue64d\ue6ae\ue652\ue653\ue648<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 y88 ff1 fs1 fc1 sc0 lsc ws8c">co da APsJ. O hemogr<span class="blank _0"></span>ama pode raramente e<span class="blank _0"></span>xibir </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x10 y0 w2 hf" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg4.png"><div class="t m0 x7 hd y21 ff6 fs5 fc0 sc0 ls6 wsa">Artrite Psoriásica Juvenil</div><div class="t m0 x7 h2 y1 ff1 fs0 fc0 sc0 ls6">4</div><div class="t m0 x7 h3 y22 ff1 fs1 fc1 sc0 lsc ws93">lev<span class="blank _0"></span>e anemia de doença cr<span class="blank _0"></span>ônica. As pro<span class="blank _0"></span>vas de fase </div><div class="t m0 x7 h3 y23 ff1 fs1 fc1 sc0 lsc ws94">aguda como a v<span class="blank _0"></span>elocidade de hemos<span class="blank _0"></span>sedimenta<span class="ls6">-</span></div><div class="t m0 x7 h3 y24 ff1 fs1 fc1 sc0 lsc ws49">ção (VHS) e a proteína C r<span class="blank _0"></span>eativa (PCR) podem es<span class="ls6">-</span></div><div class="t m0 x7 h3 y25 ff1 fs1 fc1 sc0 lsc ws95">tar normais ou apresentar pequenas ele<span class="blank _0"></span>vações.<span class="blank _0"></span> </div><div class="t m0 x7 h3 y26 ff1 fs1 fc1 sc0 lsc ws96">Plaquetose é observada principalmente nos pré<span class="blank _0"></span> </div><div class="t m0 x7 h3 y27 ff1 fs1 fc1 sc0 lsc ws66">escolar<span class="blank _0"></span>es. O FR é caracteristicamente negativ<span class="blank _0"></span>o </div><div class="t m0 x7 h3 y28 ff1 fs1 fc1 sc0 lsc ws97">na APsJ. O fator antinúcleo (F<span class="blank _1"></span>AN) ou anticorpo </div><div class="t m0 x7 h3 y6b ff1 fs1 fc1 sc0 lsc ws98">antinuclear (ANA) em baixos títulos é mais ob<span class="ls6">-</span></div><div class="t m0 x7 h3 y6c ff1 fs1 fc1 sc0 lsc ws70">servado nos de menor faixa etária; entr<span class="blank _0"></span>etanto, </div><div class="t m0 x7 h3 y89 ff1 fs1 fc1 sc0 lsc ws99">também pode ser encontr<span class="blank _0"></span>ado nos adolescentes. </div><div class="t m0 x7 h3 y8a ff1 fs1 fc1 sc0 lsc ws80">A sua presença nos alerta par<span class="blank _0"></span>a o risco de uv<span class="blank _0"></span>eíte </div><div class="t m0 x7 h3 y8b ff1 fs1 fc1 sc0 lsc wsd">anterior crônica e par<span class="blank _0"></span>a a neces<span class="blank _0"></span>sidade de manter </div><div class="t m0 x7 h3 y8c ff1 fs1 fc1 sc0 lsc ws9a">uma avaliação oftalmológica periódica. Não se<span class="blank _0"></span> </div><div class="t m0 x7 h3 y8d ff1 fs1 fc1 sc0 lsc ws9b">sabe a frequência de HLA B27 positiv<span class="blank _0"></span>o na APsJ, </div><div class="t m0 x2 h3 y22 ff1 fs1 fc1 sc0 lsc ws9c">porém está bem estabelecido que sua pr<span class="blank _0"></span>esença </div><div class="t m0 x2 h3 y23 ff1 fs1 fc1 sc0 lsc ws9d">está as<span class="blank _0"></span>sociada a intervalos mais curtos entre o </div><div class="t m0 x2 h3 y24 ff1 fs1 fc1 sc0 lsc ws4d">desenv<span class="blank _0"></span>olvimento de psoríase e o apar<span class="blank _0"></span>ecimento </div><div class="t m0 x2 h3 y25 ff1 fs1 fc1 sc0 lsc wsa">de artrite, bem como c<span class="blank _0"></span>om sacroiliíte simétrica.<span class="fs2 ls6 v1">1</span></div><div class="t m0 xe h3 y8e ff1 fs1 fc1 sc0 lsc ws9e">Nos pacientes que apresentam apenas artri<span class="ls6">-</span></div><div class="t m0 x2 h3 y8f ff1 fs1 fc1 sc0 lsc ws27">te no início do quadro, os e<span class="blank _0"></span>xames laboratoriais </div><div class="t m0 x2 h3 y90 ff1 fs1 fc1 sc0 lsc ws44">nos auxiliam tanto na ex<span class="blank _0"></span>clusão de outros diag<span class="ls6">-</span></div><div class="t m0 x2 h3 y91 ff1 fs1 fc1 sc0 lsc ws9f">nósticos (neoplasias, inf<span class="blank _0"></span>ecç<span class="blank _0"></span>ões, erros inatos do<span class="blank _0"></span> </div><div class="t m0 x2 h3 y92 ff1 fs1 fc1 sc0 lsc wsa0">metabolismo e da imunidade, as<span class="blank _0"></span>sim como outr<span class="blank _0"></span>as </div><div class="t m0 x2 h3 y93 ff1 fs1 fc1 sc0 lsc wsa1">doenças reumatológicas, ortopédicas, hemato<span class="ls6">-</span></div><div class="t m0 x2 h7 y94 ff5 fs1 fc1 sc0 lsc ws8d">\ue64b\ue6ae\ue646\ue648\ue642\ue640\ue652\ue603<span class="blank"> </span>\ue644\ue603<span class="blank"> </span>\ue644\ue64d\ue643\ue6ae\ue642\ue651\ue648\ue64d\ue640\ue652\ue608\ue60b\ue603<span class="blank"> </span>\ue642\ue64e\ue64c\ue64e\ue603<span class="blank"> </span>\ue64d\ue640\ue603<span class="blank"> </span>\ue642\ue64b\ue640\ue652<span class="blank _1"></span>\ue652\ue648\ue7a5\ue642\ue640\ue6a2\ue69e\ue64e\ue603<span class="blank"> </span>\ue643\ue640\ue603</div><div class="t m0 x2 h3 y95 ff1 fs1 fc1 sc0 lsc wsa2">doença - a presença do FR e<span class="blank _0"></span>xclui a pos<span class="blank _0"></span>sibilidade </div><div class="t m0 x2 h3 y96 ff1 fs1 fc1 sc0 lsc wsa">de APsJ (T<span class="blank _9"></span>abela 1).</div><div class="t m0 x7 h10 y97 ff3 fs1 fc1 sc0 lsc ws0">\ue637<span class="blank _9"></span>\ue644\ue645\ue648\ue64f\ue644\ue603\ue614\ue611\ue603\ue626\ue655\ue64c\ue657\ue6a8\ue655\ue64c\ue652\ue656\ue603\ue647\ue648\ue603\ue646\ue64f\ue644\ue656\ue656\ue64c\ue7a9\ue646\ue644\ue6a6\ue6a2\ue652\ue603\ue647\ue648\ue603\ue639<span class="blank _1"></span>\ue644\ue651\ue646\ue652\ue658\ue659\ue648\ue655\ue603\ue648\ue603\ue647\ue644\ue603\ue62f<span class="blank _0"></span>\ue64c\ue64a\ue644\ue603\ue62c\ue651\ue657\ue648\ue655\ue651\ue644\ue646\ue64c\ue652\ue651\ue644\ue64f\ue603\ue647\ue648\ue603\ue624\ue656\ue656\ue652\ue646\ue64c\ue644\ue6a6<span class="blank _0"></span>\ue6b4\ue648\ue656\ue603\ue653\ue644\ue655\ue644\ue603\ue644\ue603</div><div class="t m0 x7 h10 y98 ff3 fs1 fc1 sc0 lsc ws0">\ue635\ue648\ue658\ue650\ue644\ue657\ue652\ue64f\ue652\ue64a\ue64c\ue644\ue603\ue60b\ue62c\ue62f\ue624\ue635\ue60c\ue60f\ue603\ue653\ue644\ue655\ue644\ue603\ue644\ue603\ue644\ue655\ue657\ue655\ue64c\ue657\ue648\ue603\ue653\ue656\ue652\ue655\ue64c\ue6a0\ue656\ue64c\ue646\ue644\ue603\ue64d\ue658\ue659<span class="blank _0"></span>\ue648\ue651\ue64c\ue64f\ue603\ue60b\ue624\ue633\ue656\ue62d\ue60c</div><div class="t m0 x11 h4 y99 ff3 fs3 fc1 sc0 ls2 ws8e">\ue639<span class="blank _1"></span>\ue644\ue651\ue646\ue652\ue658\ue659\ue648\ue655<span class="blank"> </span>\ue62c\ue62f\ue624\ue635</div><div class="t m0 x12 h5 y9a ff1 fs3 fc1 sc0 ls2 ws8f">Inclusão<span class="blank"> </span><span class="wsa">Artrite + psoríase</span></div><div class="t m0 x13 h5 y9b ff1 fs3 fc1 sc0 ls2">ou</div><div class="t m0 x14 h5 y9c ff1 fs3 fc1 sc0 ls2 wsa">Artrite mais, pelo menos, <span class="ls6"> </span></div><div class="t m0 x14 h5 y9d ff1 fs3 fc1 sc0 ls2 wsa">2 dos seguintes: dactilite, <span class="ls6"> </span></div><div class="t m0 x14 h5 y9e ff2 fs3 fc1 sc0 ls2 wsa">nail pits<span class="ff1">, história familiar <span class="ls6"> </span></span></div><div class="t m0 x14 h5 y9f ff1 fs3 fc1 sc0 ls2 wsa">em parentes de 1º ou 2º grau,<span class="blank _0"></span> <span class="ls6"> </span></div><div class="t m0 x14 h5 ya0 ff1 fs3 fc1 sc0 ls2 wsa">rash tipo psoríase.</div><div class="t m0 x15 h5 y9a ff1 fs3 fc1 sc0 ls2 wsa">Artrite + Psoríase</div><div class="t m0 x16 h5 y9b ff1 fs3 fc1 sc0 ls2">ou</div><div class="t m0 x15 h5 y9c ff1 fs3 fc1 sc0 ls2 wsa">Artrite mais, pelo menos, 2 dos seguintes: </div><div class="t m0 x15 h5 y9d ff1 fs3 fc1 sc0 ls2 wsa3">dactilite, <span class="ff2 wsa">nail pits<span class="ff1"> ou onicólise, história f<span class="blank _0"></span>amiliar </span></span></div><div class="t m0 x15 h5 y9e ff1 fs3 fc1 sc0 ls2 wsa">em parente de 1º grau.</div><div class="t m0 x12 h11 ya1 ff1 fs3 fc1 sc0 ls2 ws90">Exclusão<span class="blank"> </span>Nenhum<span class="blank _a"> </span><span class="ff5 ws91">\ue620\ue651\ue653\ue651\ue648\ue653\ue644\ue603\ue644\ue64c\ue603\ue64c\ue644\ue64d\ue648\ue64d\ue64e\ue603\ue7a2\ue603\ue615\ue603\ue640\ue64d\ue64e\ue652\ue603\ue644\ue603\ue627\ue62b\ue620\ue621\ue611\ue616\ue60a\ue603</span></div><div class="t m0 x15 h5 ya2 ff1 fs3 fc1 sc0 ls2 wsa">Espondilite anquilosante, artrite relacionada<span class="blank _0"></span> </div><div class="t m0 x15 h5 ya3 ff1 fs3 fc1 sc0 ls2 wsa">à entesite, sacroiliíte c<span class="blank _0"></span>om DIIC, artrite reativa,<span class="blank _0"></span> </div><div class="t m0 x15 h5 ya4 ff1 fs3 fc1 sc0 ls2 wsa">ou uveíte anterior aguda ou história de alguma<span class="blank _0"></span> </div><div class="t m0 x15 h5 ya5 ff1 fs3 fc1 sc0 ls2 wsa">destas alterações em par<span class="blank _0"></span>ente de 1º grau</div><div class="t m0 x15 h5 ya6 ff1 fs3 fc1 sc0 ls2 wsa">Presença de FR IgM positiv<span class="blank _0"></span>o em pelo menos, <span class="ls6"> </span></div><div class="t m0 x15 h5 ya7 ff1 fs3 fc1 sc0 ls2 wsa">2 ocasiões</div><div class="t m0 x15 h5 ya8 ff1 fs3 fc1 sc0 ls2 wsa">Presença de AIJ sistêmica</div><div class="t m0 x15 h11 ya9 ff5 fs3 fc1 sc0 ls2 ws91">\ue620\ue651\ue653\ue651\ue648\ue653\ue644\ue603\ue650\ue654\ue644\ue603\ue64f\ue651\ue644\ue644\ue64d\ue642\ue647\ue644\ue603\ue7a2\ue603\ue611\ue603\ue642\ue640\ue653\ue644\ue646<span class="blank _0"></span>\ue64e\ue651\ue648\ue640\ue652\ue603\ue64f\ue640\ue651\ue640\ue603\ue620\ue628\ue629</div><div class="t m0 x7 h12 yaa ff1 fs9 fc1 sc0 ls11 wsa">DIIC \u2013 doença inflamatória intestinal crônica; FR \u2013 fator r<span class="blank _0"></span>eumatoide</div><div class="t m0 x7 h12 yab ff1 fs9 fc1 sc0 ls11 wsa">Alterações ungueais - <span class="ff2">nail pits</span> \u2013 pequenas depr<span class="blank _0"></span>es<span class="blank _0"></span>sões nas unhas, onicólise \u2013 quebra de unhas</div><div class="t m0 x6 h3 yac ff1 fs1 fc1 sc0 ls12 wsa4">Exames de imagem: as radio<span class="blank _0"></span>grafias sim<span class="ls6">-</span></div><div class="t m0 x7 h3 yad ff1 fs1 fc1 sc0 ls12 wsa5">ples podem mostrar alteraç<span class="blank _0"></span>ões comuns aos<span class="blank _0"></span> </div><div class="t m0 x7 h3 yae ff1 fs1 fc1 sc0 ls12 wsa6">outros subtipos da AIJ. Edema justa-articular<span class="blank _9"></span>,<span class="blank _0"></span> </div><div class="t m0 x7 h3 yaf ff1 fs1 fc1 sc0 ls12 wsa7">com ou sem derr<span class="blank _0"></span>ame, pode ser a única altera<span class="ls6">-</span></div><div class="t m0 x7 h3 yb0 ff1 fs1 fc1 sc0 ls12 wsa8">ção inicial. Osteoporose periarticular e neof<span class="blank _1"></span>or<span class="blank _7"> </span><span class="ls6">-</span></div><div class="t m0 x7 h3 yb1 ff1 fs1 fc1 sc0 ls12 wsa9">mação ós<span class="blank _0"></span>sea, especialmente nos dígitos com<span class="blank _0"></span> </div><div class="t m0 x7 h3 yb2 ff1 fs1 fc1 sc0 ls12 ws50">dactilite, podem ser observadas. T<span class="blank _9"></span>ardiamente <span class="blank _b"></span><span class="ls6 wsa"> </span></div><div class="t m0 x7 h3 yb3 ff1 fs1 fc1 sc0 ls12 wsaa">pode-se encontr<span class="blank _0"></span>ar diminuição do espaço ar<span class="ls6">-</span></div><div class="t m0 x7 h3 yb4 ff1 fs1 fc1 sc0 ls12 wsab">ticular e erosões ós<span class="blank _0"></span>seas. R<span class="blank _0"></span>emodelação óssea<span class="blank _0"></span> </div><div class="t m0 x7 h3 yb5 ff1 fs1 fc1 sc0 ls12 ws4a">resultante da periostite per<span class="blank _0"></span>sistente pode ocor<span class="ls6">-</span></div><div class="t m0 x2 h3 yac ff1 fs1 fc1 sc0 ls12 wsac">rer e<span class="blank _0"></span>v<span class="blank _0"></span>entualmente. À res<span class="blank _0"></span>sonância magnética<span class="blank _0"></span> <span class="blank _c"></span><span class="ls6 wsa"> </span></div><div class="t m0 x2 h3 yad ff1 fs1 fc1 sc0 ls12 ws4c">pode-se observar sinovite<span class="blank _0"></span>, tendinite e edema </div><div class="t m0 x2 h3 yae ff1 fs1 fc1 sc0 ls12 wsa7">da medula ós<span class="blank _0"></span>sea. O ultras<span class="blank _0"></span>som musculosquelé<span class="ls6">-</span></div><div class="t m0 x2 h3 yaf ff1 fs1 fc1 sc0 ls12 wsad">tico r<span class="blank _0"></span>ealizado por pro<span class="blank _0"></span>fissional e<span class="blank _0"></span>xperiente pode </div><div class="t m0 x2 h3 yb0 ff1 fs1 fc1 sc0 ls12 ws55">ser uma f<span class="blank _0"></span>erramenta importante para a avalia<span class="ls6">-</span></div><div class="t m0 x2 h3 yb1 ff1 fs1 fc1 sc0 ls12 ws79">ção das entesites, tanto para o seu diagnósti<span class="ls6">-</span></div><div class="t m0 x2 h3 yb2 ff1 fs1 fc1 sc0 ls12 wsae">co c<span class="blank _0"></span>omo para o ac<span class="blank _0"></span>ompanhamento. O ultras<span class="blank _0"></span>som </div><div class="t m0 x2 h3 yb3 ff1 fs1 fc1 sc0 ls12 wsaf">musculosquelético c<span class="blank _0"></span>om <span class="ff2 ws92">doppler</span> também é va<span class="ls6">-</span></div><div class="t m0 x2 h3 yb4 ff1 fs1 fc1 sc0 ls12 wsb0">lioso para a avaliação de atividade subclínica da<span class="blank _0"></span> </div><div class="t m0 x2 h3 yb5 ff1 fs1 fc1 sc0 ls12 wsa">doença articular<span class="blank _9"></span>.</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w3 h13" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg5.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls6">5</div><div class="t m0 xd hd y21 ff7 fs5 fc0 sc0 ls10 ws5f">Dep<span class="blank _0"></span>art<span class="blank _1"></span>amento Científic<span class="blank _0"></span>o de Reuma<span class="blank _1"></span>tologia (<span class="blank _0"></span>gest<span class="blank _0"></span>ão <span class="blank _0"></span>2022-<span class="blank _0"></span>2024) <span class="blank _0"></span>\u2022 Sociedade <span class="blank _0"></span>Brasileira de Pedia<span class="blank _1"></span>tria</div><div class="t m0 x5 h6 yb6 ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e4\ue7ee\ue603\ue7ee\ue817<span class="blank _0"></span>\ue7ea\ue603\ue7ea\ue7ee\ue603\ue7eb\ue7ed\ue7e4\ue7e9\ue7de\ue7e4\ue7eb<span class="blank _1"></span>\ue7dc\ue7e4\ue7ee\ue603\ue7df\ue7e4\ue7dc\ue7e2\ue7e9\ue843\ue7ee\ue7ef\ue7e4\ue7de<span class="blank _0"></span>\ue7ea\ue7ee\ue603</div><div class="t m0 x5 h6 yb7 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7e4\ue7e1\ue7e0\ue7ed\ue7e0\ue7e9\ue7de\ue7e4\ue7dc\ue7e4\ue7ee\ue603\ue7df\ue7dc\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h3 yb8 ff1 fs1 fc1 sc0 lsc wsb9">Como em alguns pacientes a artrite pr<span class="blank _0"></span>ecede<span class="blank _0"></span> </div><div class="t m0 x7 h3 yb9 ff1 fs1 fc1 sc0 lsc wsba">o aparecimento dos outr<span class="blank _0"></span>os compr<span class="blank _0"></span>ometimentos </div><div class="t m0 x7 h3 yba ff1 fs1 fc1 sc0 lsc ws83">característic<span class="blank _0"></span>os da APsJ, o diagnóstico de AIJ oli<span class="ls6">-</span></div><div class="t m0 x7 h3 ybb ff1 fs1 fc1 sc0 lsc wsbb">goarticular ou poliarticular pode ser r<span class="blank _0"></span>ealizado </div><div class="t m0 x7 h3 ybc ff1 fs1 fc1 sc0 lsc wsbc">inicialmente. Nestes casos os principais diag<span class="ls6">-</span></div><div class="t m0 x7 h3 ybd ff1 fs1 fc1 sc0 lsc wsbd">nósticos dif<span class="blank _0"></span>erenciais são leuc<span class="blank _0"></span>emia, tuberculose<span class="blank _0"></span> </div><div class="t m0 x7 h3 ybe ff1 fs1 fc1 sc0 lsc ws8b">osteoarticular<span class="blank _9"></span>, sinovite vilonodular<span class="blank _9"></span>, erros inatos </div><div class="t m0 x7 h7 ybf ff5 fs1 fc1 sc0 lsc wsb1">\ue643\ue640\ue603<span class="blank"> </span>\ue648\ue64c\ue654\ue64d\ue648\ue643\ue640\ue643\ue644\ue603<span class="blank"> </span>\ue607\ue64f\ue651\ue648\ue64d\ue642\ue648\ue64f\ue640\ue64b\ue64c\ue644\ue64d\ue653\ue644\ue603<span class="blank"> </span>\ue640\ue603<span class="blank"> </span>\ue643\ue644\ue7a5\ue642\ue648\ue6a5\ue64d\ue642\ue648\ue640\ue603<span class="blank"> </span>\ue643\ue644\ue603</div><div class="t m0 x7 h3 yc0 ff1 fs1 fc1 sc0 lsc wsa">IgA) e a artropatia hemofílica.<span class="fs2 ls6 v1">1</span></div><div class="t m0 x6 h3 yc1 ff1 fs1 fc1 sc0 lsc ws9e">Quando surgem as alter<span class="blank _0"></span>ações cutâneas e/<span class="blank _1"></span>ou </div><div class="t m0 x7 h3 yc2 ff1 fs1 fc1 sc0 lsc wsa">ungueais o diagnóstico de APsJ se estabelec<span class="blank _0"></span>e.</div><div class="t m0 x5 h6 yc3 ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e7\ue603\ue822\ue603\ue7ea\ue603\ue7ef\ue7ed\ue7dc<span class="blank _9"></span>\ue7ef<span class="blank _1"></span>\ue7dc\ue7e8\ue7e0\ue7e9\ue7ef\ue7ea\ue603\ue7df<span class="blank _0"></span>\ue7dc\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h3 yc4 ff1 fs1 fc1 sc0 lsc wsbe">O tratamento da AIJ, independentemente do </div><div class="t m0 x7 h7 yc5 ff5 fs1 fc1 sc0 lsc ws1c">\ue652\ue654\ue641\ue653\ue648\ue64f\ue64e\ue60b\ue603<span class="blank _1"></span>\ue653\ue644\ue64c\ue603<span class="blank _0"></span>\ue64f\ue64e\ue651\ue603<span class="blank _1"></span>\ue7a5\ue64d\ue640\ue64b\ue648\ue643\ue640\ue643\ue644\ue603<span class="blank _0"></span>\ue648\ue64d\ue643\ue654\ue659\ue648\ue651\ue603<span class="blank _1"></span>\ue651\ue644\ue64c\ue648\ue652<span class="blank _0"></span>\ue652\ue69e\ue64e\ue60b\ue603<span class="blank _1"></span>\ue644\ue655\ue648<span class="ff1 ls6">-</span></div><div class="t m0 x7 h3 yc6 ff1 fs1 fc1 sc0 lsc ws2a">tar dano e incapacidade funcional e maximizar a </div><div class="t m0 x7 h3 yc7 ff1 fs1 fc1 sc0 lsc wsbf">qualidade de vida relacionada à saúde, em todos<span class="blank _0"></span> </div><div class="t m0 x7 h3 yc8 ff1 fs1 fc1 sc0 lsc wsc0">os seus aspectos. Ele dev<span class="blank _0"></span>erá ser sempr<span class="blank _0"></span>e indivi<span class="ls6">-</span></div><div class="t m0 x7 h3 yc9 ff1 fs1 fc1 sc0 lsc ws21">dualizado, de ac<span class="blank _0"></span>ordo c<span class="blank _0"></span>om o tipo e a intensidade </div><div class="t m0 x7 h3 yca ff1 fs1 fc1 sc0 lsc ws9f">das manif<span class="blank _0"></span>estações de cada paciente. C<span class="blank _0"></span>onsultas </div><div class="t m0 x7 h3 ycb ff1 fs1 fc1 sc0 lsc wsc1">regular<span class="blank _0"></span>es para a<span class="blank _0"></span>valiação clínico-laboratorial e<span class="blank _0"></span> </div><div class="t m0 x7 h3 ycc ff1 fs1 fc1 sc0 lsc ws52">ajustes de terapia são fundamentais para atingir<span class="blank _0"></span> </div><div class="t m0 x7 h3 ycd ff1 fs1 fc1 sc0 lsc wsa">a remis<span class="blank _0"></span>são.<span class="fs2 ls6 v1">1</span></div><div class="t m0 x6 h3 yce ff1 fs1 fc1 sc0 lsc wsa1">O esquema de tratamento medicamentoso </div><div class="t m0 x7 h3 ycf ff1 fs1 fc1 sc0 lsc ws63">da APsJ é similar ao utilizado em outros subti<span class="ls6">-</span></div><div class="t m0 x7 h7 yd0 ff5 fs1 fc1 sc0 lsc wsb2">\ue64f\ue64e\ue652\ue603<span class="blank"> </span>\ue643\ue640\ue603<span class="blank"> </span>\ue620\ue628\ue629\ue60d\ue603<span class="blank"> </span>\ue62e\ue652\ue603<span class="blank"> </span>\ue640\ue64d\ue653\ue648\ue60c\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue64e\ue652\ue603<span class="blank"> </span>\ue64d\ue69e\ue64e\ue603<span class="blank"> </span>\ue647\ue64e\ue651\ue64c\ue64e\ue64d\ue640\ue648\ue652\ue603</div><div class="t m0 x7 h3 yd1 ff1 fs1 fc1 sc0 lsc wsc2">(AINH) e, dentre estes, o napr<span class="blank _0"></span>ox<span class="blank _0"></span>eno e o ibupro<span class="ls6">-</span></div><div class="t m0 x7 h3 yd2 ff1 fs1 fc1 sc0 lsc wsc3">f<span class="blank _0"></span>eno são os fármacos mais pr<span class="blank _0"></span>escritos no início </div><div class="t m0 x7 h3 yd3 ff1 fs1 fc1 sc0 lsc ws75">do tratamento. Entr<span class="blank _0"></span>etanto, eles não induzem a<span class="blank _0"></span> </div><div class="t m0 x7 h3 yd4 ff1 fs1 fc1 sc0 lsc ws8b">remis<span class="blank _0"></span>são e não de<span class="blank _0"></span>vem ser utiliz<span class="blank _0"></span>ados por tempo </div><div class="t m0 x7 h3 yd5 ff1 fs1 fc1 sc0 lsc wsc4">prolongado. O c<span class="blank _0"></span>orticoster<span class="blank _0"></span>oide de baixa solubili<span class="ls6">-</span></div><div class="t m0 x7 h3 yd6 ff1 fs1 fc1 sc0 lsc ws55">dade intra-articular também é uma boa opção,<span class="blank _0"></span> </div><div class="t m0 x7 h3 yd7 ff1 fs1 fc1 sc0 lsc wsc5">especialmente, nos pacientes com artrite em<span class="blank _0"></span> </div><div class="t m0 x7 h3 yd8 ff1 fs1 fc1 sc0 lsc wsc6">uma ou duas articulações. O he<span class="blank _0"></span>xacetonide de </div><div class="t m0 x7 h3 yd9 ff1 fs1 fc1 sc0 lsc wsc7">triancinolona é a prepar<span class="blank _0"></span>ação mais indicada de </div><div class="t m0 x7 h3 yda ff1 fs1 fc1 sc0 lsc wsc8">glicoc<span class="blank _0"></span>orticoide por via intr<span class="blank _0"></span>a-articular<span class="blank _9"></span>, para uso </div><div class="t m0 x7 h3 ydb ff1 fs1 fc1 sc0 lsc wsa">em crianças e adolescentes.<span class="fs2 ls6 v1">1</span></div><div class="t m0 xe h3 y22 ff1 fs1 fc1 sc0 lsc wsc9">Cortic<span class="blank _0"></span>osteroides sistêmic<span class="blank _0"></span>os não dev<span class="blank _0"></span>em ser </div><div class="t m0 x2 h3 ydc ff1 fs1 fc1 sc0 lsc ws2e">utlizados no tratamento dos pacientes c<span class="blank _0"></span>om APsJ </div><div class="t m0 x2 h3 ydd ff1 fs1 fc1 sc0 lsc wsca">porque podem induzir à r<span class="blank _0"></span>ecidiva cutânea da </div><div class="t m0 x2 h3 yde ff1 fs1 fc1 sc0 lsc ws4c">psoríase, quando realiz<span class="blank _0"></span>ada a sua redução para<span class="blank _0"></span> </div><div class="t m0 x2 h3 ydf ff1 fs1 fc1 sc0 lsc ws73">suspensão. Os antimaláricos também de<span class="blank _0"></span>v<span class="blank _0"></span>em ser </div><div class="t m0 x2 h3 ye0 ff1 fs1 fc1 sc0 lsc wsa">evitados pelo risc<span class="blank _0"></span>o de agra<span class="blank _0"></span>varem o compr<span class="blank _0"></span>ometi<span class="ls6">-</span></div><div class="t m0 x2 h3 ye1 ff1 fs1 fc1 sc0 lsc wsa">mento cutâneo.</div><div class="t m0 xe h3 ye2 ff1 fs1 fc1 sc0 lsc wscb">Nos últimos anos tem-se optado por intro<span class="ls6">-</span></div><div class="t m0 x2 h3 ye3 ff1 fs1 fc1 sc0 lsc wscc">duzir prec<span class="blank _0"></span>ocemente os f<span class="blank _0"></span>ármacos de segunda </div><div class="t m0 x2 h7 ye4 ff5 fs1 fc1 sc0 lsc wsb3">\ue64b\ue648\ue64d\ue647\ue640\ue603<span class="blank"> </span>\ue642\ue64e\ue64c\ue64e\ue603<span class="blank"> </span>\ue64e\ue603<span class="blank"> </span>\ue64c\ue644\ue653\ue64e\ue653\ue651<span class="blank _0"></span>\ue644\ue657\ue640\ue653\ue64e\ue603<span class="blank"> </span>\ue607\ue62c\ue633\ue637\ue608\ue60b\ue603<span class="blank"> </span>\ue640\ue603<span class="blank"> </span>\ue64b\ue644\ue7a6\ue654\ue64d\ue64e\ue64c\ue648\ue643\ue640<span class="blank _0"></span>\ue603</div><div class="t m0 x2 h3 ye5 ff1 fs1 fc1 sc0 lsc wscb">ou a sulfas<span class="blank _0"></span>salazina, também consider<span class="blank _0"></span>ados me<span class="ls6">-</span></div><div class="t m0 x2 h7 ye6 ff5 fs1 fc1 sc0 lsc wsb4">\ue643\ue648\ue642\ue640\ue64c\ue644\ue64d\ue653\ue64e\ue652\ue603<span class="blank"> </span>\ue64c\ue64e\ue643\ue648\ue7a5\ue642\ue640\ue643\ue64e\ue651\ue644\ue652\ue603<span class="blank"> </span>\ue643\ue64e\ue603<span class="blank"> </span>\ue642\ue654\ue651<span class="blank _0"></span>\ue652\ue64e\ue603<span class="blank"> </span>\ue643\ue644\ue603<span class="blank"> </span>\ue643\ue64e\ue644\ue64d\ue6a2\ue640\ue603</div><div class="t m0 x2 h3 ye7 ff1 fs1 fc1 sc0 lsc ws73">(DMARDs sintéticos), c<span class="blank _0"></span>om o objetivo de ac<span class="blank _0"></span>elerar </div><div class="t m0 x2 h7 ye8 ff5 fs1 fc1 sc0 lsc wsb5">\ue64e\ue603<span class="blank"> </span>\ue642\ue64e\ue64d\ue653\ue651<span class="blank _0"></span>\ue64e\ue64b\ue644\ue603<span class="blank"> </span>\ue643\ue64e\ue603<span class="blank"> </span>\ue64f\ue651\ue64e\ue642<span class="blank _0"></span>\ue644\ue652<span class="blank _0"></span>\ue652\ue64e\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue64e\ue60d\ue603<span class="blank"> </span>\ue62e\ue603<span class="blank"> </span>\ue62c\ue633\ue637\ue603<span class="blank"> </span>\ue653\ue644\ue64c\ue603</div><div class="t m0 x2 h3 ye9 ff1 fs1 fc1 sc0 lsc ws2a">sido o mais utilizado e promo<span class="blank _0"></span>v<span class="blank _0"></span>e bons resultados </div><div class="t m0 x2 h3 yea ff1 fs1 fc1 sc0 lsc wscd">em médio/longo praz<span class="blank _0"></span>o. É uma medicação segur<span class="blank _0"></span>a </div><div class="t m0 x2 h3 yeb ff1 fs1 fc1 sc0 lsc ws52">e pode ser administrada por via oral, entr<span class="blank _0"></span>etanto, </div><div class="t m0 x2 h3 yec ff1 fs1 fc1 sc0 lsc ws62">a via subcutânea apresenta melhor biodisponi<span class="ls6">-</span></div><div class="t m0 x2 h3 yed ff1 fs1 fc1 sc0 lsc ws71">bilidade e menos ev<span class="blank _0"></span>entos adv<span class="blank _0"></span>ersos gastr<span class="blank _0"></span>ointes<span class="ls6">-</span></div><div class="t m0 x2 h3 yee ff1 fs1 fc1 sc0 lsc ws1c">tinais.<span class="fs2 lse v1">1</span><span class="wsce"> O contr<span class="blank _0"></span>ole períódico das enzimas hepáti<span class="ls6">-</span></span></div><div class="t m0 x2 h3 yef ff1 fs1 fc1 sc0 lsc wsa">cas é mandatório.</div><div class="t m0 xe h3 yf0 ff1 fs1 fc1 sc0 lsc wscf">Na falha do primeir<span class="blank _0"></span>o DMARD sintético, po<span class="ls6">-</span></div><div class="t m0 x2 h3 yf1 ff1 fs1 fc1 sc0 lsc wsd0">de-se adicionar um segundo DMARD sintético<span class="blank _0"></span> </div><div class="t m0 x2 h3 yf2 ff1 fs1 fc1 sc0 lsc wsd1">ou um DMARD biológico<span class="blank _0"></span>, que age bloquean<span class="ls6">-</span></div><div class="t m0 x2 h7 yf3 ff5 fs1 fc1 sc0 lsc wsb6">\ue643\ue64e\ue603<span class="blank"> </span>\ue642\ue648\ue653\ue64e\ue642\ue648\ue64d\ue640\ue652\ue603<span class="blank"> </span>\ue64f\ue651\ue6ae\ue60c\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue640\ue652\ue603<span class="blank"> </span>\ue64e\ue654\ue603<span class="blank"> </span>\ue652\ue644\ue654\ue652\ue603<span class="blank"> </span>\ue651<span class="blank _0"></span>\ue644\ue642\ue644\ue64f<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 yf4 ff1 fs1 fc1 sc0 lsc wsac">tores. Os bloqueador<span class="blank _0"></span>es do TNF (etanerc<span class="blank _0"></span>epte, </div><div class="t m0 x2 h7 yf5 ff5 fs1 fc1 sc0 lsc wsb7">\ue640\ue643\ue640\ue64b\ue648\ue64c\ue654\ue64c\ue640\ue641\ue644\ue603<span class="blank"> </span>\ue644\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue648\ue657\ue648\ue64c\ue640\ue641\ue644\ue608\ue603<span class="blank"> </span>\ue652\ue69e\ue64e\ue603<span class="blank"> </span>\ue64f\ue640\ue651\ue653\ue648\ue642\ue654\ue64b\ue640\ue651\ue64c\ue644\ue64d<span class="ff1 ls6">-</span></div><div class="t m0 x2 h3 yf6 ff1 fs1 fc1 sc0 lsc wsd2">te úteis no compr<span class="blank _0"></span>ometimento de sacroilíacas,<span class="blank _0"></span> </div><div class="t m0 x2 h3 yf7 ff1 fs1 fc1 sc0 lsc wsd3">de coluna, nas dactilites e nas entesites muito<span class="blank _0"></span> <span class="blank _d"></span><span class="ls6 wsa"> </span></div><div class="t m0 x2 h3 yf8 ff1 fs1 fc1 sc0 lsc ws7e">dolorosas. Se houv<span class="blank _0"></span>er falha a um dos anti-TNF de<span class="ls6">-</span></div><div class="t m0 x2 h3 yf9 ff1 fs1 fc1 sc0 lsc ws43">ve-se tr<span class="blank _0"></span>ocar por outro anti-TNF<span class="blank _e"></span>. Até o momento </div><div class="t m0 x2 h3 yfa ff1 fs1 fc1 sc0 lsc ws43">não se demonstrou a superioridade de um des<span class="ls6">-</span></div><div class="t m0 x2 h3 yfb ff1 fs1 fc1 sc0 lsc ws2b">tes anti-TNF<span class="blank _e"></span>, em relação aos outros, no tratamen<span class="ls6">-</span></div><div class="t m0 x2 h3 yfc ff1 fs1 fc1 sc0 lsc wsd4">to da APsJ dev<span class="blank _0"></span>endo a esc<span class="blank _0"></span>olha se basear na dis<span class="ls6">-</span></div><div class="t m0 x2 h3 yfd ff1 fs1 fc1 sc0 lsc wsd5">ponibilidade, custo e tolerabilidade do paciente.</div><div class="t m0 xe h3 yfe ff1 fs1 fc1 sc0 lsc wsd6">Par<span class="blank _0"></span>a o compr<span class="blank _0"></span>ometimento axial (coluna e <span class="blank _8"></span><span class="ls6 wsa"> </span></div><div class="t m0 x2 h3 yff ff1 fs1 fc1 sc0 lsc ws73">articulações sacr<span class="blank _0"></span>oilíacas) refr<span class="blank _0"></span>atário aos anti-TNF </div><div class="t m0 x2 h3 y100 ff1 fs1 fc1 sc0 lsc wscb">o anti-IL-17 (secuquinumabe) e o anti-IL12/23 </div><div class="t m0 x2 h3 y101 ff1 fs1 fc1 sc0 lsc wsd7">(ustequinumabe) são opções ter<span class="blank _0"></span>apêuticas pro<span class="ls6">-</span></div><div class="t m0 x2 h3 y102 ff1 fs1 fc1 sc0 lsc ws1c">mis<span class="blank _0"></span>soras.</div><div class="t m0 xe h3 y103 ff1 fs1 fc1 sc0 lsc wsd8">Um aspecto importante, bem estabeleci<span class="ls6">-</span></div><div class="t m0 x2 h3 y104 ff1 fs1 fc1 sc0 lsc ws17">do nos adultos, é a relação entr<span class="blank _0"></span>e os problemas<span class="blank _0"></span> </div><div class="t m0 x2 h3 y105 ff1 fs1 fc1 sc0 lsc ws35">emocionais e o desencadeamento, reativação e<span class="blank _0"></span> </div><div class="t m0 x2 h7 y106 ff5 fs1 fc1 sc0 lsc wsb8">\ue64c\ue640\ue648\ue64e\ue651\ue603<span class="blank"> </span>\ue640\ue653\ue648\ue655\ue648\ue643\ue640\ue643\ue644\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue640\ue603<span class="blank"> </span>\ue643\ue640\ue603<span class="blank"> </span>\ue643\ue64e\ue644\ue64d\ue6a2\ue640\ue603<span class="blank"> </span>\ue642\ue654\ue653\ue69d\ue64d\ue644\ue640\ue603</div><div class="t m0 x2 h7 y107 ff5 fs1 fc1 sc0 lsc ws1a">\ue644\ue603<span class="blank"> </span>\ue640\ue651\ue653\ue648\ue642\ue654\ue64b\ue640\ue651<span class="blank _9"></span>\ue60d\ue603<span class="blank"> </span>\ue623\ue644\ue655<span class="blank _0"></span>\ue644\ue60c\ue652\ue644\ue603<span class="blank"> </span>\ue7a5\ue642\ue640\ue651\ue603<span class="blank"> </span>\ue640\ue653\ue644\ue64d\ue653\ue64e\ue603<span class="blank"> </span>\ue64f\ue640\ue651\ue640\ue603<span class="blank"> </span>\ue644\ue652\ue653\ue640\ue603<span class="blank"> </span>\ue64f\ue64e\ue652<span class="blank _0"></span>\ue652\ue648<span class="ff1 ls6">-</span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h14" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg6.png"><div class="t m0 x7 hd y21 ff6 fs5 fc0 sc0 ls6 wsa">Artrite Psoriásica Juvenil</div><div class="t m0 x7 h2 y1 ff1 fs0 fc0 sc0 ls6">6</div><div class="t m0 x7 h3 y22 ff1 fs1 fc1 sc0 lsc wsdb">bilidade e orientar a família, quando nec<span class="blank _0"></span>essário<span class="blank _0"></span>, </div><div class="t m0 x7 h3 y23 ff1 fs1 fc1 sc0 lsc wsa">a procur<span class="blank _0"></span>ar ajuda de um psicólog<span class="blank _0"></span>o.</div><div class="t m0 x6 h3 y108 ff1 fs1 fc1 sc0 lsc wsdc">Fisioterapia e terapia física ocupacional são<span class="blank _0"></span> </div><div class="t m0 x7 h3 y109 ff1 fs1 fc1 sc0 lsc ws81">importantes para todos pacientes c<span class="blank _0"></span>om APsJ, com </div><div class="t m0 x7 h3 y10a ff1 fs1 fc1 sc0 lsc ws4a">o objetivo de r<span class="blank _0"></span>etomar as atividades da vida diá<span class="ls6">-</span></div><div class="t m0 x7 h3 y10b ff1 fs1 fc1 sc0 lsc ws24">ria, auxiliar a desenv<span class="blank _0"></span>olv<span class="blank _0"></span>er e restaur<span class="blank _0"></span>ar movimen<span class="ls6">-</span></div><div class="t m0 x7 h3 y10c ff1 fs1 fc1 sc0 lsc wsa">tos e habilidades funcionais.<span class="fs2 ls6 v1">1</span></div><div class="t m0 x6 h3 y10d ff1 fs1 fc1 sc0 lsc wsa2">Dev<span class="blank _0"></span>e-se orientar o paciente a r<span class="blank _0"></span>etornar<span class="blank _9"></span>, assim </div><div class="t m0 x7 h3 y10e ff1 fs1 fc1 sc0 lsc wsdd">que pos<span class="blank _0"></span>sível, par<span class="blank _0"></span>a a sua vida escolar e social. </div><div class="t m0 x7 h3 y10f ff1 fs1 fc1 sc0 lsc ws25">Cuidados c<span class="blank _0"></span>om a dieta, ex<span class="blank _0"></span>ercícios físic<span class="blank _0"></span>os, imuni<span class="ls6">-</span></div><div class="t m0 x7 h3 y110 ff1 fs1 fc1 sc0 lsc wsde">zações, c<span class="blank _0"></span>onsultas periódicas com o o<span class="blank _0"></span>ftalmologis<span class="ls6">-</span></div><div class="t m0 x7 h3 y111 ff1 fs1 fc1 sc0 lsc wsa">ta também são es<span class="blank _0"></span>senciais.</div><div class="t m0 x6 h3 y112 ff1 fs1 fc1 sc0 lsc wsdf">Os critérios de doença inativa incluem au<span class="ls6">-</span></div><div class="t m0 x7 h3 y113 ff1 fs1 fc1 sc0 lsc wse0">sência de artrite e de manif<span class="blank _0"></span>estações extr<span class="blank _0"></span>a-arti<span class="ls6">-</span></div><div class="t m0 x7 h3 y114 ff1 fs1 fc1 sc0 lsc ws65">culares, valor<span class="blank _0"></span>es normais de pro<span class="blank _0"></span>vas de atividade </div><div class="t m0 x7 h7 y115 ff5 fs1 fc1 sc0 lsc wsd9">\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue640\ue603<span class="blank"> </span>\ue607\ue635\ue627\ue632\ue60b\ue603<span class="blank"> </span>\ue62f\ue622\ue631\ue608\ue603<span class="blank"> </span>\ue644\ue603<span class="blank"> </span>\ue640\ue654\ue652\ue6a5\ue64d\ue642\ue648\ue640\ue603<span class="blank"> </span>\ue643\ue644\ue603<span class="blank"> </span>\ue640\ue653\ue648\ue655\ue648\ue643\ue640\ue643\ue644\ue603</div><div class="t m0 x7 h3 y116 ff1 fs1 fc1 sc0 lsc wse1">de doença na avaliação global do médic<span class="blank _0"></span>o por es<span class="ls6">-</span></div><div class="t m0 x7 h3 y117 ff1 fs1 fc1 sc0 lsc wse2">cala visual analógica mensurada de 0 a 10 (nota<span class="blank _0"></span> </div><div class="t m0 x7 h3 y118 ff1 fs1 fc1 sc0 lsc wse3">0 indica inatividade e nota 10 atividade máxi<span class="ls6">-</span></div><div class="t m0 x7 h3 y119 ff1 fs1 fc1 sc0 lsc ws1c">ma).<span class="fs2 lsd v1">1,5</span></div><div class="t m0 x6 h3 y11a ff1 fs1 fc1 sc0 lsc ws4c">Por tr<span class="blank _0"></span>atar-se de doença crônica, c<span class="blank _0"></span>om trata<span class="ls6">-</span></div><div class="t m0 x7 h3 y11b ff1 fs1 fc1 sc0 lsc ws12">mento e acompanhamento a long<span class="blank _0"></span>o prazo<span class="blank _0"></span>, a cola<span class="ls6">-</span></div><div class="t m0 x7 h3 y11c ff1 fs1 fc1 sc0 lsc ws9e">boração do paciente e a participação da família<span class="blank _0"></span> </div><div class="t m0 x7 h3 y11d ff1 fs1 fc1 sc0 lsc wsa">são fundamentais.</div><div class="t m0 x6 h3 y11e ff1 fs1 fc1 sc0 lsc ws24">Contr<span class="blank _0"></span>ole rigor<span class="blank _0"></span>oso, pelos pais, da ingesta dos </div><div class="t m0 x7 h3 y11f ff1 fs1 fc1 sc0 lsc ws43">medicamentos dev<span class="blank _0"></span>e ser r<span class="blank _0"></span>ealizado especialmen<span class="ls6">-</span></div><div class="t m0 x7 h3 y120 ff1 fs1 fc1 sc0 lsc wsa">te nos adolescentes.</div><div class="t m0 x5 h6 y121 ff3 fs4 fc1 sc0 ls7 ws1e">\ue634\ue7f0\ue7dc\ue7e4\ue7ee\ue603\ue7ee\ue817<span class="blank _0"></span>\ue7ea\ue603\ue7dc\ue7ee\ue603\ue7de\ue7ea\ue7e9\ue7ee\ue7e0\ue7ec\ue7f0\ue823\ue7e9\ue7de\ue7e4\ue7dc\ue7ee\ue603\ue7e0<span class="blank _0"></span>\ue603</div><div class="t m0 x5 h6 y122 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue7eb\ue7e7\ue7e4\ue7de\ue7dc\ue81e<span class="blank _0"></span>\ue845\ue7e0\ue7ee\ue603\ue7df\ue7ea\ue603\ue7df\ue7e4\ue7dc\ue7e2\ue7e9\ue843\ue7ee\ue7ef\ue7e4\ue7de<span class="blank _1"></span>\ue7ea\ue603\ue7ef<span class="blank _1"></span>\ue7dc\ue7ed\ue7df\ue7e4\ue7ea\ue603<span class="ls6">\ue603</span></div><div class="t m0 x5 h6 y123 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7e0\ue603\ue7ef\ue7ed\ue7dc<span class="blank _1"></span>\ue7ef<span class="blank _1"></span>\ue7dc\ue7e8\ue7e0\ue7e9\ue7ef\ue7ea\ue603\ue7e4\ue7e9\ue7dc\ue7df\ue7e0\ue7ec\ue7f0<span class="blank _0"></span>\ue7dc\ue7df\ue7ea\ue603\ue7e9\ue7dc\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 x6 h3 y124 ff1 fs1 fc1 sc0 lsc ws79">Há dois aspectos importantes a serem c<span class="blank _0"></span>on<span class="ls6">-</span></div><div class="t m0 x7 h3 y125 ff1 fs1 fc1 sc0 lsc wse4">siderados na APsJ, o c<span class="blank _0"></span>omprometimento cutâ<span class="ls6">-</span></div><div class="t m0 x2 h3 y22 ff1 fs1 fc1 sc0 lsc wse5">neo e o articular<span class="blank _9"></span>. O atraso no diagnóstico ou o<span class="blank _0"></span> </div><div class="t m0 x2 h3 y23 ff1 fs1 fc1 sc0 lsc wse6">tratamento inadequado são determinantes de </div><div class="t m0 x2 h3 y24 ff1 fs1 fc1 sc0 lsc ws21">pior prognóstic<span class="blank _0"></span>o, c<span class="blank _0"></span>om incapacidades funcionais, </div><div class="t m0 x2 h3 y25 ff1 fs1 fc1 sc0 lsc wsbe">inclusive par<span class="blank _0"></span>a as atividades da vida diária e iso<span class="ls6">-</span></div><div class="t m0 x2 h3 y26 ff1 fs1 fc1 sc0 lsc wse7">lamento social pelo compr<span class="blank _0"></span>ometimento cutâneo. </div><div class="t m0 x2 h3 y27 ff1 fs1 fc1 sc0 lsc ws20">Baixos índic<span class="blank _0"></span>es na qualidade de vida relacionada </div><div class="t m0 x2 h3 y28 ff1 fs1 fc1 sc0 lsc wsc0">à saúde, baixa estatura e alter<span class="blank _0"></span>ações localizadas<span class="blank _0"></span> </div><div class="t m0 x2 h3 y6b ff1 fs1 fc1 sc0 lsc wse8">do crescimento acarr<span class="blank _0"></span>etando as<span class="blank _0"></span>simetria no com<span class="ls6">-</span></div><div class="t m0 x2 h3 y6c ff1 fs1 fc1 sc0 lsc ws70">primento dos membros, ou dos dedos (br<span class="blank _0"></span>aqui<span class="ls6">-</span></div><div class="t m0 x2 h3 y89 ff1 fs1 fc1 sc0 lsc wsa">dactilia) também podem ocorr<span class="blank _0"></span>er<span class="blank _9"></span>.<span class="fs2 lsd v1">1,2</span></div><div class="t m0 xf h6 y126 ff3 fs4 fc1 sc0 ls7 ws1e">\ue626\ue7ea\ue7e8\ue7ea\ue603\ue7ee\ue817<span class="blank _0"></span>\ue7ea\ue603\ue7dc\ue603\ue7e0\ue7f1<span class="blank _0"></span>\ue7ea\ue7e7<span class="blank _0"></span>\ue7f0\ue81e\ue817\ue7ea\ue603\ue7e0\ue603\ue7ea\ue603\ue7eb\ue7ed\ue7ea\ue7e2\ue7e9\ue843\ue7ee\ue7ef\ue7e4\ue7de<span class="blank _1"></span>\ue7ea\ue603</div><div class="t m0 xf h6 y127 ff3 fs4 fc1 sc0 ls7 ws1e">\ue7df\ue7ea\ue7ee\ue603\ue7eb<span class="blank _1"></span>\ue7dc\ue7de\ue7e4\ue7e0\ue7e9\ue7ef\ue7e0\ue7ee\ue603\ue7de<span class="blank _0"></span>\ue7ea\ue7e8\ue603\ue624\ue633\ue7ee\ue62d\ue80c</div><div class="t m0 xe h3 y128 ff1 fs1 fc1 sc0 lsc ws11">O diagnóstico pr<span class="blank _0"></span>ecoc<span class="blank _0"></span>e e a aderência ao tra<span class="blank _0"></span><span class="ls6">-</span></div><div class="t m0 x2 h3 y129 ff1 fs1 fc1 sc0 lsc wse9">tamento adequado são fundamentais para a me<span class="ls6">-</span></div><div class="t m0 x2 h3 y12a ff1 fs1 fc1 sc0 lsc ws63">lhor ev<span class="blank _0"></span>olução dos pacientes. C<span class="blank _0"></span>omo já citado, o </div><div class="t m0 x2 h3 y12b ff1 fs1 fc1 sc0 lsc ws4d">objetivo principal do tr<span class="blank _0"></span>atamento é induzir à re<span class="ls6">-</span></div><div class="t m0 x2 h3 y12c ff1 fs1 fc1 sc0 lsc wsea">mis<span class="blank _0"></span>são, entretanto, de<span class="blank _0"></span>v<span class="blank _0"></span>emos deixar claro, que<span class="blank _0"></span> </div><div class="t m0 x2 h3 y12d ff1 fs1 fc1 sc0 lsc ws83">uma ve<span class="blank _0"></span>z obtida, não se pode afastar a pos<span class="blank _0"></span>sibili<span class="ls6">-</span></div><div class="t m0 x2 h3 y12e ff1 fs1 fc1 sc0 lsc wsa">dade de reativação no futur<span class="blank _0"></span>o.</div><div class="t m0 xe h3 y12f ff1 fs1 fc1 sc0 lsc wsa9">Estudo populacional realizado nos Estados<span class="blank _0"></span> </div><div class="t m0 x2 h3 y130 ff1 fs1 fc1 sc0 lsc ws65">Unidos com 212 crianças e adolesc<span class="blank _0"></span>entes de 0 a </div><div class="t m0 x2 h3 y131 ff1 fs1 fc1 sc0 lsc wseb">16 anos com APsJ f<span class="blank _0"></span>oi observado maior risco par<span class="blank _0"></span>a </div><div class="t m0 x2 h3 y132 ff1 fs1 fc1 sc0 lsc ws73">apresentar uv<span class="blank _0"></span>eíte, <span class="ff2 wsec">diabetes mellitus</span> e depr<span class="blank _0"></span>es<span class="blank _0"></span>são </div><div class="t m0 x2 h3 y133 ff1 fs1 fc1 sc0 lsc ws50">nestes pacientes, quando compar<span class="blank _0"></span>ados aos pa<span class="ls6">-</span></div><div class="t m0 x2 h3 y134 ff1 fs1 fc1 sc0 lsc ws9e">cientes apenas com psoríase. Quando c<span class="blank _0"></span>ompara<span class="ls6">-</span></div><div class="t m0 x2 h3 y135 ff1 fs1 fc1 sc0 lsc wsed">dos aos contr<span class="blank _0"></span>oles normais os pacientes com APsJ<span class="blank _0"></span> </div><div class="t m0 x2 h3 y136 ff1 fs1 fc1 sc0 lsc ws98">apresentar<span class="blank _0"></span>am, além dos anteriores, maior risc<span class="blank _0"></span>o </div><div class="t m0 x2 h7 y137 ff5 fs1 fc1 sc0 lsc wsda">\ue643\ue644\ue603<span class="blank"> </span>\ue643\ue644\ue652\ue644\ue64d\ue655<span class="blank _0"></span>\ue64e\ue64b\ue655<span class="blank _0"></span>\ue644\ue651\ue603<span class="blank"> </span>\ue643\ue64e\ue644\ue64d\ue6a2\ue640\ue603<span class="blank"> </span>\ue648\ue64d\ue653\ue644\ue652\ue653\ue648\ue64d\ue640\ue64b\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue640\ue653\ue6ae\ue651\ue648\ue640\ue603</div><div class="t m0 x2 h3 y138 ff1 fs1 fc1 sc0 lsc ws1c">crônica<span class="fs2 lse v1">4</span><span class="ws6f">. Neste estudo a maioria dos pacientes<span class="blank _0"></span> </span></div><div class="t m0 x2 h3 y139 ff1 fs1 fc1 sc0 lsc ws9e">com APsJ apr<span class="blank _0"></span>esentou artrite como primeir<span class="blank _0"></span>a ma<span class="ls6">-</span></div><div class="t m0 x2 h3 y13a ff1 fs1 fc1 sc0 lsc wsee">nif<span class="blank _0"></span>estação e dentre as crianças e adolescentes<span class="blank _0"></span> </div><div class="t m0 x2 h3 y13b ff1 fs1 fc1 sc0 lsc wsec">apenas com psoríase, a idade mais a<span class="blank _0"></span>vançada e a </div><div class="t m0 x2 h3 y13c ff1 fs1 fc1 sc0 lsc wsa2">presença de uv<span class="blank _0"></span>eite f<span class="blank _0"></span>oram fator<span class="blank _0"></span>es de risco par<span class="blank _0"></span>a o </div><div class="t m0 x2 h3 y13d ff1 fs1 fc1 sc0 lsc wsa">aparecimento de artrite.</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x7 y0 w4 h13" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg7.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls6">7</div><div class="t m0 xd hd y21 ff7 fs5 fc0 sc0 ls10 ws5f">Dep<span class="blank _0"></span>art<span class="blank _1"></span>amento Científic<span class="blank _0"></span>o de Reuma<span class="blank _1"></span>tologia (<span class="blank _0"></span>gest<span class="blank _0"></span>ão <span class="blank _0"></span>2022-<span class="blank _0"></span>2024) <span class="blank _0"></span>\u2022 Sociedade <span class="blank _0"></span>Brasileira de Pedia<span class="blank _1"></span>tria</div><div class="t m0 x17 h15 y13e ff3 fsa fc1 sc0 ls13">\ue635\ue628\ue629\ue628\ue635\ue689\ue631\ue626\ue62c\ue624\ue636</div><div class="t m0 x18 h12 y13f ff1 fs9 fc1 sc0 ls6 ws6e">06. <span class="blank _4"> </span>Ekelund M, Aalto K, F<span class="blank _0"></span>asth A, Herlin T<span class="blank _1"></span>, Nielsen S, </div><div class="t m0 x19 h12 y140 ff1 fs9 fc1 sc0 ls6 wsf4">Nordal E, et al. Psoriasis and as<span class="blank _0"></span>sociated variables </div><div class="t m0 x19 h16 y141 ff5 fs9 fc1 sc0 ls6 wsef">\ue648\ue64d\ue603<span class="blank"> </span>\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue653\ue648\ue64e\ue64d\ue603<span class="blank"> </span>\ue640\ue64d\ue643\ue603<span class="blank"> </span>\ue64e\ue654\ue653\ue642<span class="blank _0"></span>\ue64e\ue64c\ue644\ue603<span class="blank"> </span>\ue64e\ue645\ue603<span class="blank"> </span>\ue649\ue654\ue655<span class="blank _0"></span>\ue644\ue64d\ue648\ue64b\ue644\ue603</div><div class="t m0 x19 h12 y142 ff1 fs9 fc1 sc0 ls6 wsf5">idiopathic arthritis \u2013 an eightyear f<span class="blank _0"></span>ollow-up </div><div class="t m0 x19 h12 y143 ff1 fs9 fc1 sc0 ls6 wsa">study<span class="blank _0"></span>. PediatrRheumatol. 2017;15:13.</div><div class="t m0 x18 h12 y144 ff1 fs9 fc1 sc0 ls6 wsf6">07. Spârchez M, F<span class="blank _0"></span>odor D<span class="blank _0"></span>. What\u2019s new in musculo-</div><div class="t m0 x19 h12 y145 ff1 fs9 fc1 sc0 ls6 wsf7">skeletal ultr<span class="blank _0"></span>asound in pediatric rheumatology? </div><div class="t m0 x19 h12 y146 ff1 fs9 fc1 sc0 ls6 wsa">Med Ultrason. 2018;20(3):371-378.</div><div class="t m0 x18 h12 y147 ff1 fs9 fc1 sc0 ls6 wsf8">08. <span class="blank _f"></span>Moll JM, Wright V<span class="blank _9"></span>. Psoriatic arthritis. Semin </div><div class="t m0 x19 h12 y148 ff1 fs9 fc1 sc0 ls6 wsa">Arthritis Rheum. 1973;3:55-78.</div><div class="t m0 x18 h12 y149 ff1 fs9 fc1 sc0 ls6 wsf9">09. <span class="blank _9"></span>Romit R, Maragno L, Arnone M, T<span class="blank _9"></span>akahashi M. </div><div class="t m0 x19 h12 y14a ff1 fs9 fc1 sc0 ls6 wsfa">Psoríase na infância e na adolescência. An Br<span class="blank _0"></span>as </div><div class="t m0 x19 h12 y14b ff1 fs9 fc1 sc0 ls6 wsa">Dermatol. 2009;84(1):50.</div><div class="t m0 x18 h12 y14c ff1 fs9 fc1 sc0 ls6 wsfb">10. <span class="blank _9"></span>Manos CK, Xiao R, Brandon T<span class="blank _1"></span>G, Burnham JM, </div><div class="t m0 x19 h12 y14d ff1 fs9 fc1 sc0 ls6 wsfc">Zemel BS, W<span class="blank _1"></span>eiss PF<span class="blank _9"></span>. Obesity and pediatric </div><div class="t m0 x19 h12 y14e ff1 fs9 fc1 sc0 ls6 wsfd">psoriatic arthritis. Ann Paediatr Rheumatol. </div><div class="t m0 x19 h12 y14f ff1 fs9 fc1 sc0 ls6">2017;6(2):34-40.</div><div class="t m0 x18 h12 y150 ff1 fs9 fc1 sc0 ls6 wsfe">11. <span class="blank _10"> </span>Stoll M, Lio P<span class="blank _e"></span>, Sundel R, Nigro<span class="blank _0"></span>vic P<span class="blank _1"></span>A. Comparison </div><div class="t m0 x19 h12 y151 ff1 fs9 fc1 sc0 ls6 wsff">of V<span class="blank _1"></span>ancouver and InternationalLeague of </div><div class="t m0 x19 h16 y152 ff5 fs9 fc1 sc0 ls6 wsf0">\ue620\ue652\ue652\ue64e\ue642\ue648\ue640\ue653\ue648\ue64e\ue64d\ue652\ue603<span class="blank"> </span>\ue645<span class="blank _1"></span>\ue64e\ue651\ue603<span class="blank"> </span>\ue651\ue647\ue644\ue654\ue64c\ue640\ue653\ue64e\ue64b\ue64e\ue646\ue658\ue603<span class="blank"> </span>\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue653\ue648\ue64e\ue64d\ue603</div><div class="t m0 x19 h12 y153 ff1 fs9 fc1 sc0 ls6 ws100">criteria for juv<span class="blank _0"></span>enile psoriatic arthritis. Arthritis </div><div class="t m0 x19 h12 y154 ff1 fs9 fc1 sc0 ls6 wsa">Rheum. 2008;59(1):51\u201358.</div><div class="t m0 x6 h12 y155 ff1 fs9 fc1 sc0 ls6 ws101">01. <span class="blank _11"> </span>Nigro<span class="blank _0"></span>vic P<span class="blank _1"></span>A, Sundel RP<span class="blank _9"></span>. Juvenile Psoriatic Arthritis </div><div class="t m0 x1a h12 y156 ff1 fs9 fc1 sc0 ls6 ws102">In: Petty RE, Lax<span class="blank _0"></span>er RM, Lindsley CB, W<span class="blank _1"></span>edderburn </div><div class="t m0 x1a h12 y157 ff1 fs9 fc1 sc0 ls6 ws103">LR, Mellins ED<span class="blank _0"></span>, Fuhlbrigge RC. T<span class="blank _9"></span>extbook of </div><div class="t m0 x1a h12 y158 ff1 fs9 fc1 sc0 ls6 ws104">Pediatric Rheumatology<span class="blank _1"></span>. 8.ed. Philadelphia: </div><div class="t m0 x1a h12 y159 ff1 fs9 fc1 sc0 ls6 wsa">Elsevier; 2021.p.256-267.</div><div class="t m0 x6 h12 y15a ff1 fs9 fc1 sc0 ls6 wsaa">02. <span class="blank _e"></span>Nigr<span class="blank _0"></span>ovic P<span class="blank _1"></span>A, Colbert RA, Holers VM, Oz<span class="blank _0"></span>en S, </div><div class="t m0 x1a h12 y15b ff1 fs9 fc1 sc0 ls6 ws105">Ruperto N, Thompson SD<span class="blank _0"></span>, et al. Biological </div><div class="t m0 x1a h16 y15c ff5 fs9 fc1 sc0 ls6 wsf1">\ue642\ue64b\ue640\ue652\ue652\ue648\ue7a5\ue642\ue640\ue653\ue648\ue64e\ue64d\ue603<span class="blank"> </span>\ue64e<span class="blank _0"></span>\ue645\ue603<span class="blank"> </span>\ue642\ue647\ue648\ue64b\ue643\ue647\ue64e\ue64e\ue643\ue603<span class="blank"> </span>\ue640\ue651\ue653\ue647\ue651\ue648\ue653\ue648\ue652\ue619\ue603<span class="blank"> </span>\ue651\ue64e\ue640\ue643\ue64c\ue640\ue64f\ue603<span class="blank"> </span>\ue653\ue64e\ue603</div><div class="t m0 x1a h12 y15d ff1 fs9 fc1 sc0 ls6 ws106">a molecular nomenclature. Nat R<span class="blank _0"></span>ev Rheumatol </div><div class="t m0 x1a h12 y15e ff1 fs9 fc1 sc0 ls6">2021;17(5):257-269.</div><div class="t m0 x6 h12 y15f ff1 fs9 fc1 sc0 ls6 ws107">03. <span class="blank _12"> </span>Nigro<span class="blank _0"></span>vic P<span class="blank _e"></span>. Juvenile psoriatic arthritis: bathwater </div><div class="t m0 x1a h12 y160 ff1 fs9 fc1 sc0 ls6 wsa">or baby? J Rheumatol 2009;36(9):1861\u20131863.</div><div class="t m0 x6 h12 y161 ff1 fs9 fc1 sc0 ls6 ws108">04. <span class="blank _7"> </span>Brandon T<span class="blank _0"></span>G, Manos CK, Xiao R, Ogdie A, W<span class="blank _1"></span>eiss </div><div class="t m0 x1a h12 y162 ff1 fs9 fc1 sc0 ls6 ws109">PF<span class="blank _9"></span>. Pediatric Psoriatic Arthritis: a population-</div><div class="t m0 x1a h12 y163 ff1 fs9 fc1 sc0 ls6 ws10a">based cohort study of risk f<span class="blank _0"></span>actors f<span class="blank _0"></span>or onset and </div><div class="t m0 x1a h16 y164 ff5 fs9 fc1 sc0 ls6 wsf2">\ue652\ue654\ue641\ue652\ue644\ue650\ue654\ue644\ue64d\ue653\ue603<span class="blank"> </span>\ue651\ue648\ue652\ue64a\ue603<span class="blank"> </span>\ue64e\ue645\ue603<span class="blank"> </span>\ue648\ue64d\ue7a6\ue640\ue64c\ue64c\ue640\ue653\ue64e\ue651\ue658\ue603<span class="blank"> </span>\ue642\ue64e\ue64c\ue64e\ue651\ue641\ue648\ue643\ue648\ue653\ue648\ue644\ue652\ue60d\ue603</div><div class="t m0 x1a h12 y165 ff1 fs9 fc1 sc0 ls6 wsa">J Psor Psorias Arthritis. 2018;3(4):131-136.</div><div class="t m0 x6 h12 y166 ff1 fs9 fc1 sc0 ls6 ws10b">05. <span class="blank _d"></span>Oliveira SKF<span class="blank _e"></span>. Artrite idiopática juvenil. In: </div><div class="t m0 x1a h12 y167 ff1 fs9 fc1 sc0 ls6 ws10c">Fonseca ARF<span class="blank _e"></span>, Rodrigues MCF<span class="blank _9"></span>. Séries Pediatria </div><div class="t m0 x1a h12 y168 ff1 fs9 fc1 sc0 ls6 ws10d">SOPERJ - Reumatologia P<span class="blank _0"></span>ediátrica. 1.ed. São </div><div class="t m0 x1a h12 y169 ff1 fs9 fc1 sc0 ls6 wsa">Paulo: Manole; 2021; p.107-119.</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x10 y0 w5 h17" alt="" src="https://files.passeidireto.com/b7040204-deb4-4a6b-9905-337d48708930/bg8.png"><div class="t m0 x7 hd y21 ff6 fs5 fc0 sc0 ls6 wsa">Artrite Psoriásica Juvenil</div><div class="t m0 x7 h2 y1 ff1 fs0 fc0 sc0 ls6">8</div><div class="t m0 x1b h18 y16a ff1 fsb fc0 sc0 ls6 ws10e">D<span class="fsc ls14 wsa">ir<span class="blank _0"></span>etoria Plena</span></div><div class="t m0 x1c h19 y16b ff1 fs7 fc1 sc0 ls6 wsa">T<span class="blank _9"></span>riênio 2022/2024</div><div class="t m0 x1d h1a y16c ff8 fs3 fc1 sc0 ls2">www.sbp.com.br</div><div class="t m1 x1e h1b y16d ff9 fsd fc1 sc0 ls6 wsa">Anamaria Cavalcante e Silva (CE)</div><div class="t m1 x1e h1b y16e ff9 fsd fc1 sc0 ls6 wsa">Maria T<span class="blank _1"></span>ereza Fonseca da Costa (RJ)</div><div class="t m1 x1e h1b y16f ff9 fsd fc1 sc0 ls6 wsa">Ana Cristina Ribeiro Zöllner (SP)</div><div class="t m1 x1e h1b y170 ff9 fsd fc1 sc0 ls6 wsa">Rodrigo Aboudib Ferreira Pinto (ES)</div><div class="t m1 x1e h1b y171 ff9 fsd fc1 sc0 ls6 wsa">Claudio Hoineff (RJ)</div><div class="t m1 x1e h1b y172 ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x1e h1b y173 ff9 fsd fc1 sc0 ls6 wsa">Maria Angelica Barcellos Svaiter (RJ)</div><div class="t m1 x1e h1b y174 ff9 fsd fc1 sc0 ls6 wsa">Donizetti Dimer Giambernardino (PR)</div><div class="t m1 x1e h1c y175 ff8 fsd fc1 sc0 ls6 wsa">PROGRAMA DE ATUALIZAÇÃO CONTINUADA </div><div class="t m1 x1e h1c y176 ff8 fsd fc1 sc0 ls6 wsa">À DISTÂNCIA</div><div class="t m1 x1e h1b y177 ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x1e h1b y178 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x1e h1c y179 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE PUBLICAÇÕES</div><div class="t m1 x1e h1b y17a ff9 fsd fc1 sc0 ls6 wsa">Fábio Ancona Lopez (SP)</div><div class="t m1 x1e h1b y17b ff9 fsd fc1 sc0 ls6 wsa">Editores do Jornal de Pediatria (JPED)</div><div class="t m1 x1e h1c y17c ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x1e h1b y17d ff9 fsd fc1 sc0 ls6 wsa">Renato Soibelmann Procianoy (RS)</div><div class="t m1 x1e h1c y17e ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x1e h1b y17f ff9 fsd fc1 sc0 ls6 wsa">Crésio de Aragão Dantas Alves (BA)</div><div class="t m1 x1e h1b y180 ff9 fsd fc1 sc0 ls6 wsa">Paulo Augusto Moreira Camargos (MG)</div><div class="t m1 x1e h1b y181 ff9 fsd fc1 sc0 ls6 wsa">João Guilherme Bezerra Alves (PE)</div><div class="t m1 x1e h1b y182 ff9 fsd fc1 sc0 ls6 wsa">Marco Aurelio Palazzi Safadi (SP)</div><div class="t m1 x1e h1b y183 ff9 fsd fc1 sc0 ls6 wsa">Magda Lahorgue Nunes (RS)</div><div class="t m1 x1e h1b y184 ff9 fsd fc1 sc0 ls6 wsa">Giselia Alves Pontes da Silva (PE)</div><div class="t m1 x1e h1b y185 ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x1e h1b y186 ff9 fsd fc1 sc0 ls6 wsa">Antonio Jose Ledo Alves da Cunha (RJ)</div><div class="t m1 x1e h1c y187 ff8 fsd fc1 sc0 ls6 wsa">EDITORES REVISTA </div><div class="t m1 x1e h1b y188 ff9 fsd fc1 sc0 ls6 wsa">Residência Pediátrica</div><div class="t m1 x1e h1c y189 ff8 fsd fc1 sc0 ls6 wsa">EDITORES CIENTÍFICOS:</div><div class="t m1 x1e h1b y18a ff9 fsd fc1 sc0 ls6 wsa">Clémax Couto Sant\u2019Anna (RJ)</div><div class="t m1 x1e h1b y18b ff9 fsd fc1 sc0 ls6 wsa">Marilene Augusta Rocha Crispino Santos (RJ)</div><div class="t m1 x1e h1c y18c ff8 fsd fc1 sc0 ls6 wsa">EDITORA ADJUNTA:</div><div class="t m1 x1e h1b y18d ff9 fsd fc1 sc0 ls6 wsa">Márcia Garcia Alves Galvão (RJ)</div><div class="t m1 x1e h1c y18e ff8 fsd fc1 sc0 ls6 wsa">CONSELHO EDITORIAL EXECUTIVO:</div><div class="t m1 x1e h1b y18f ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x1e h1c y190 ff8 fsd fc1 sc0 ls6 wsa">EDITORES ASSOCIADOS:</div><div class="t m1 x1e h1b y191 ff9 fsd fc1 sc0 ls6 wsa">Danilo Blank (RS)</div><div class="t m1 x1e h1b y192 ff9 fsd fc1 sc0 ls6 wsa">Paulo Roberto Antonacci Carvalho (RJ)</div><div class="t m1 x1e h1b y193 ff9 fsd fc1 sc0 ls6 wsa">Renata Dejtiar Waksman (SP)</div><div class="t m1 x1e h1c y194 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE ENSINO E PESQUISA</div><div class="t m1 x1e h1b y195 ff9 fsd fc1 sc0 ls6 wsa">Angelica Maria Bicudo (SP)</div><div class="t m1 x1e h1c y196 ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DE PESQUISA</div><div class="t m1 x1e h1b y197 ff9 fsd fc1 sc0 ls6 wsa">Cláudio Leone (SP)</div><div class="t m1 x1e h1c y198 ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DE GRADUAÇÃO</div><div class="t m1 x1e h1c y199 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x1e h1b y19a ff9 fsd fc1 sc0 ls6 wsa">Rosana Fiorini Puccini (SP)</div><div class="t m1 x1e h1c y19b ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x1e h1b y19c ff9 fsd fc1 sc0 ls6 wsa">Rosana Alves (ES)</div><div class="t m1 x1e h1b y19d ff9 fsd fc1 sc0 ls6 wsa">Suzy Santana Cavalcante (BA)</div><div class="t m1 x1e h1b y19e ff9 fsd fc1 sc0 ls6 wsa">Ana Lucia Ferreira (RJ)</div><div class="t m1 x1e h1b y19f ff9 fsd fc1 sc0 ls6 wsa">Silvia Wanick Sarinho (PE)</div><div class="t m1 x1e h1b y1a0 ff9 fsd fc1 sc0 ls6 wsa">Ana Cristina Ribeiro Zöllner (SP)</div><div class="t m1 x1e h1c y1a1 ff8 fsd fc1 sc0 ls15 wsa">COORDENAÇÃO DE RESIDÊNCIA E ESTÁGIOS EM PEDIATRIA</div><div class="t m1 x1e h1c y1a2 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x1e h1b y1a3 ff9 fsd fc1 sc0 ls6 wsa">Ana Cristina Ribeiro Zöllner (SP)</div><div class="t m1 x1e h1c y1a4 ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x1e h1b y1a5 ff9 fsd fc1 sc0 ls6 wsa">Eduardo Jorge da Fonseca Lima (PE)</div><div class="t m1 x1e h1b y1a6 ff9 fsd fc1 sc0 ls6 wsa">Paulo de Jesus Hartmann Nader (RS)</div><div class="t m1 x1e h1b y1a7 ff9 fsd fc1 sc0 ls6 wsa">Victor Horácio da Costa Junior (PR)</div><div class="t m1 x1e h1b y1a8 ff9 fsd fc1 sc0 ls6 wsa">Silvio da Rocha Carvalho (RJ)</div><div class="t m1 x1e h1b y1a9 ff9 fsd fc1 sc0 ls6 wsa">Tânia Denise Resener (RS)</div><div class="t m1 x1e h1b y1aa ff9 fsd fc1 sc0 ls6 wsa">Delia Maria de Moura Lima Herrmann (AL)</div><div class="t m1 x1e h1b y1ab ff9 fsd fc1 sc0 ls6 wsa">Helita Regina F. Cardoso de Azevedo (BA)</div><div class="t m1 x1e h1b y1ac ff9 fsd fc1 sc0 ls6 wsa">Jefferson Pedro Piva (RS)</div><div class="t m1 x1e h1b y1ad ff9 fsd fc1 sc0 ls6 wsa">Sérgio Luís Amantéa (RS)</div><div class="t m1 x1e h1b y1ae ff9 fsd fc1 sc0 ls6 wsa">Susana Maciel Wuillaume (RJ)</div><div class="t m1 x1e h1b y1af ff9 fsd fc1 sc0 ls6 wsa">Aurimery Gomes Chermont (PA)</div><div class="t m1 x1e h1b y1b0 ff9 fsd fc1 sc0 ls6 wsa">Silvia Regina Marques (SP)</div><div class="t m1 x1e h1b y1b1 ff9 fsd fc1 sc0 ls6 wsa">Claudio Barssanti (SP)</div><div class="t m1 x1e h1b y1b2 ff9 fsd fc1 sc0 ls6 wsa">Marynea Silva do Vale (MA)</div><div class="t m1 x1e h1b y1b3 ff9 fsd fc1 sc0 ls6 wsa">Liana de Paula Medeiros de A. Cavalcante (PE)</div><div class="t m1 x1e h1c y1b4 ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DAS LIGAS DOS ESTUDANTES</div><div class="t m1 x1e h1c y1b5 ff8 fsd fc1 sc0 ls6 wsa">COORDENADOR: </div><div class="t m1 x1e h1b y1b6 ff9 fsd fc1 sc0 ls6 wsa">Lelia Cardamone Gouveia (SP)</div><div class="t m1 x1e h1c y1b7 ff8 fsd fc1 sc0 ls6 wsa">MUSEU DA PEDIATRIA </div><div class="t m1 x1e h1c y1b8 ff8 fsd fc1 sc0 ls6 wsa">(MEMORIAL DA PEDIATRIA BRASILEIRA)</div><div class="t m1 x1e h1c y1b9 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x1e h1b y1ba ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x1e h1c y1bb ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x1e h1b y1bc ff9 fsd fc1 sc0 ls6 wsa">Mario Santoro Junior (SP)</div><div class="t m1 x1e h1b y1bd ff9 fsd fc1 sc0 ls6 wsa">José Hugo de Lins Pessoa (SP)</div><div class="t m1 x1e h1b y1be ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x1e h1b y1bf ff9 fsd fc1 sc0 ls6 wsa">Jeferson Pedro Piva (RS)</div><div class="t m1 x1e h1c y1c0 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE PATRIMÔNIO</div><div class="t m1 x1e h1c y1c1 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x1e h1b y1c2 ff9 fsd fc1 sc0 ls6 wsa">Claudio Barsanti (SP)</div><div class="t m1 x1e h1b y1c3 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x1e h1b y1c4 ff9 fsd fc1 sc0 ls6 wsa">Maria T<span class="blank _1"></span>ereza Fonseca da Costa (RJ)</div><div class="t m1 x1e h1b y1c5 ff9 fsd fc1 sc0 ls6 wsa">Paulo T<span class="blank _1"></span>adeu Falanghe (SP)</div><div class="t m1 x1e h1b y1c6 ff9 fsd fc1 sc0 ls6 wsa">AC - SOCIEDADE ACREANA DE PEDIATRA </div><div class="t m1 x1e h1b y1c7 ff9 fsd fc1 sc0 ls6 wsa">Ana Isabel Coelho Montero</div><div class="t m1 x1e h1b y1c8 ff9 fsd fc1 sc0 ls6 wsa">AL - SOCIEDADE ALAGOANA DE PEDIATRIA </div><div class="t m1 x1e h1b y1c9 ff9 fsd fc1 sc0 ls6 wsa">Marcos Reis Gonçalves</div><div class="t m1 x1e h1b y1ca ff9 fsd fc1 sc0 ls6 wsa">AM - SOCIEDADE AMAZONENSE DE PEDIATRIA </div><div class="t m1 x1e h1b y1cb ff9 fsd fc1 sc0 ls6 wsa">Adriana Távora de Albuquerque T<span class="blank _1"></span>aveira</div><div class="t m1 x1f h1b y16d ff9 fsd fc1 sc0 ls6 wsa">AP - SOCIEDADE AMAPAENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y16e ff9 fsd fc1 sc0 ls6 wsa">Camila dos Santos Salomão</div><div class="t m1 x1f h1b y1cc ff9 fsd fc1 sc0 ls6 wsa">BA - SOCIEDADE BAIANA DE PEDIATRIA </div><div class="t m1 x1f h1b y1cd ff9 fsd fc1 sc0 ls6 wsa">Ana Luiza Velloso da Paz Matos</div><div class="t m1 x1f h1b y1ce ff9 fsd fc1 sc0 ls6 wsa">CE - SOCIEDADE CEARENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1cf ff9 fsd fc1 sc0 ls6 wsa">Anamaria Cavalcante e Silva</div><div class="t m1 x1f h1b y1d0 ff9 fsd fc1 sc0 ls6 wsa">DF - SOCIEDADE DE PEDIATRIA DO DISTRITO FEDERAL </div><div class="t m1 x1f h1b y1d1 ff9 fsd fc1 sc0 ls6 wsa">Renata Belém Pessoa de Melo Seixas</div><div class="t m1 x1f h1b y1d2 ff9 fsd fc1 sc0 ls6 wsa">ES - SOCIEDADE ESPIRITOSSANTENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1d3 ff9 fsd fc1 sc0 ls6 wsa">Roberta Paranhos Fragoso</div><div class="t m1 x1f h1b y177 ff9 fsd fc1 sc0 ls6 wsa">GO - SOCIEDADE GOIANA DE PEDIATRIA </div><div class="t m1 x1f h1b y178 ff9 fsd fc1 sc0 ls6 wsa">Valéria Granieri de Oliveira Araújo</div><div class="t m1 x1f h1b y1d4 ff9 fsd fc1 sc0 ls6 wsa">MA - SOCIEDADE DE PUERICULTURA E PEDIATRIA </div><div class="t m1 x1f h1b y1d5 ff9 fsd fc1 sc0 ls6 wsa">DO MARANHÃO </div><div class="t m1 x1f h1b y1d6 ff9 fsd fc1 sc0 ls6 wsa">Marynea Silva do Vale</div><div class="t m1 x1f h1b y1d7 ff9 fsd fc1 sc0 ls6 wsa">MG - SOCIEDADE MINEIRA DE PEDIATRIA </div><div class="t m1 x1f h1b y1d8 ff9 fsd fc1 sc0 ls6 wsa">Cássio da Cunha Ibiapina</div><div class="t m1 x1f h1b y1d9 ff9 fsd fc1 sc0 ls6 wsa">MS - SOCIEDADE DE PEDIATRIA DO MATO GROSSO DO SUL </div><div class="t m1 x1f h1b y1da ff9 fsd fc1 sc0 ls6 wsa">Carmen Lúcia de Almeida Santos</div><div class="t m1 x1f h1b y1db ff9 fsd fc1 sc0 ls6 wsa">MT - SOCIEDADE MATOGROSSENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1dc ff9 fsd fc1 sc0 ls6 wsa">Paula Helena de Almeida Gattass Bumlai</div><div class="t m1 x1f h1b y182 ff9 fsd fc1 sc0 ls6 wsa">PA - SOCIEDADE PARAENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y183 ff9 fsd fc1 sc0 ls6 wsa">Vilma Francisca Hutim Gondim de Souza</div><div class="t m1 x1f h1b y1dd ff9 fsd fc1 sc0 ls6 wsa">PB - SOCIEDADE PARAIBANA DE PEDIATRIA </div><div class="t m1 x1f h1b y1de ff9 fsd fc1 sc0 ls6 wsa">Maria do Socorro Ferreira Martins</div><div class="t m1 x1f h1b y1df ff9 fsd fc1 sc0 ls6 wsa">PE - SOCIEDADE DE PEDIATRIA DE PERNAMBUCO </div><div class="t m1 x1f h1b y1e0 ff9 fsd fc1 sc0 ls6 wsa">Alexsandra Ferreira da Costa Coelho</div><div class="t m1 x1f h1b y1e1 ff9 fsd fc1 sc0 ls6 wsa">PI - SOCIEDADE DE PEDIATRIA DO PIAUÍ </div><div class="t m1 x1f h1b y1e2 ff9 fsd fc1 sc0 ls6 wsa">Anenísia Coelho de Andrade</div><div class="t m1 x1f h1b y1e3 ff9 fsd fc1 sc0 ls6 wsa">PR - SOCIEDADE PARANAENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1e4 ff9 fsd fc1 sc0 ls6 wsa">Victor Horácio de Souza Costa Junior</div><div class="t m1 x1f h1b y18c ff9 fsd fc1 sc0 ls15 wsa">RJ - SOCIEDADE DE PEDIATRIA DO ESTADO DO RIO DE JANEIRO<span class="ls6"> </span></div><div class="t m1 x1f h1b y18d ff9 fsd fc1 sc0 ls6 wsa">Cláudio Hoineff</div><div class="t m1 x1f h1b y1e5 ff9 fsd fc1 sc0 ls16 wsa">RN - SOCIEDADE DE PEDIATRIA DO RIO GRANDE DO NORTE<span class="ls6"> </span></div><div class="t m1 x1f h1b y1e6 ff9 fsd fc1 sc0 ls6 wsa">Manoel Reginaldo Rocha de Holanda</div><div class="t m1 x1f h1b y1e7 ff9 fsd fc1 sc0 ls6 wsa">RO - SOCIEDADE DE PEDIATRIA DE RONDÔNIA </div><div class="t m1 x1f h1b y1e8 ff9 fsd fc1 sc0 ls6 wsa">Wilmerson Vieira da Silva</div><div class="t m1 x1f h1b y1e9 ff9 fsd fc1 sc0 ls6 wsa">RR - SOCIEDADE RORAIMENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1ea ff9 fsd fc1 sc0 ls6 wsa">Mareny Damasceno Pereira</div><div class="t m1 x1f h1b y1eb ff9 fsd fc1 sc0 ls6 wsa">RS - SOCIEDADE DE PEDIATRIA DO RIO GRANDE DO SUL </div><div class="t m1 x1f h1b y1ec ff9 fsd fc1 sc0 ls6 wsa">Sérgio Luis Amantéa</div><div class="t m1 x1f h1b y1ed ff9 fsd fc1 sc0 ls6 wsa">SC - SOCIEDADE CATARINENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1ee ff9 fsd fc1 sc0 ls6 wsa">Nilza Maria Medeiros Perin</div><div class="t m1 x1f h1b y1ef ff9 fsd fc1 sc0 ls6 wsa">SE - SOCIEDADE SERGIPANA DE PEDIATRIA </div><div class="t m1 x1f h1b y1f0 ff9 fsd fc1 sc0 ls6 wsa">Ana Jovina Barreto Bispo</div><div class="t m1 x1f h1b y1f1 ff9 fsd fc1 sc0 ls6 wsa">SP - SOCIEDADE DE PEDIATRIA DE SÃO PAULO </div><div class="t m1 x1f h1b y1f2 ff9 fsd fc1 sc0 ls6 wsa">Renata Dejtiar Waksman</div><div class="t m1 x1f h1b y1f3 ff9 fsd fc1 sc0 ls6 wsa">TO - SOCIEDADE TOCANTINENSE DE PEDIATRIA </div><div class="t m1 x1f h1b y1f4 ff9 fsd fc1 sc0 ls6 wsa">Ana Mackartney de Souza Marinho</div><div class="t m1 x1f h1c y1f5 ff8 fsd fc1 sc0 ls6 wsa">DEPARTAMENTOS CIENTÍFICOS</div><div class="t m1 x1f h1b y1f6 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Adolescência</div><div class="t m1 x1f h1b y1f7 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Aleitamento Materno</div><div class="t m1 x1f h1b y1f8 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Alergia</div><div class="t m1 x1f h1b y1f9 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Bioética</div><div class="t m1 x1f h1b y1fa ff9 fsd fc1 sc0 ls6 wsa">\u2022 Cardiologia</div><div class="t m1 x1f h1b y1fb ff9 fsd fc1 sc0 ls6 wsa">\u2022 Dermatologia</div><div class="t m1 x1f h1b y1fc ff9 fsd fc1 sc0 ls6 wsa">\u2022 Emergência</div><div class="t m1 x1f h1b y1fd ff9 fsd fc1 sc0 ls6 wsa">\u2022 Endocrinologia</div><div class="t m1 x1f h1b y1fe ff9 fsd fc1 sc0 ls6 wsa">\u2022 Gastroenterologia</div><div class="t m1 x1f h1b y1ff ff9 fsd fc1 sc0 ls6 wsa">\u2022 Genética</div><div class="t m1 x1f h1b y200 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Hematologia</div><div class="t m1 x1f h1b y201 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Hepatologia</div><div class="t m1 x1f h1b y202 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Imunizações</div><div class="t m1 x1f h1b y203 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Imunologia Clínica</div><div class="t m1 x1f h1b y204 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Infectologia</div><div class="t m1 x1f h1b y205 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Medicina da Dor e Cuidados Paliativos</div><div class="t m1 x1f h1b y206 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Medicina Intensiva Pediátrica</div><div class="t m1 x1f h1b y207 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Nefrologia</div><div class="t m1 x1f h1b y208 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Neonatologia</div><div class="t m1 x1f h1b y209 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Neurologia</div><div class="t m1 x1f h1b y20a ff9 fsd fc1 sc0 ls6 wsa">\u2022 Nutrologia</div><div class="t m1 x1f h1b y20b ff9 fsd fc1 sc0 ls6 wsa">\u2022 Oncologia</div><div class="t m1 x1f h1b y20c ff9 fsd fc1 sc0 ls6 wsa">\u2022 Otorrinolaringologia</div><div class="t m1 x1f h1b y20d ff9 fsd fc1 sc0 ls6 wsa">\u2022 Pediatria Ambulatorial</div><div class="t m1 x1f h1b y20e ff9 fsd fc1 sc0 ls6 wsa">\u2022 Ped. Desenvolvimento e Comportamento</div><div class="t m1 x1f h1b y20f ff9 fsd fc1 sc0 ls6 wsa">\u2022 Pneumologia</div><div class="t m1 x1f h1b y210 ff9 fsd fc1 sc0 ls6 wsa">\u2022 <span class="blank _e"></span>Prevenção e Enfrentamento das Causas Externas </div><div class="t m1 x20 h1b y211 ff9 fsd fc1 sc0 ls6 wsa">na Infância e Adolescência</div><div class="t m1 x1f h1b y212 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Reumatologia</div><div class="t m1 x1f h1b y213 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Saúde Escolar</div><div class="t m1 x1f h1b y214 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Sono</div><div class="t m1 x1f h1b y215 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Suporte Nutricional</div><div class="t m1 x1f h1b y216 ff9 fsd fc1 sc0 ls6 wsa">\u2022 T<span class="blank _1"></span>oxicologia e Saúde Ambiental</div><div class="t m1 x1f h1c y217 ff8 fsd fc1 sc0 ls6 wsa">GRUPOS DE TRABALHO</div><div class="t m1 x1f h1b y218 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Atividade física</div><div class="t m1 x1f h1b y219 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Cirurgia pediátrica</div><div class="t m1 x1f h1b y21a ff9 fsd fc1 sc0 ls6 wsa">\u2022 Criança, adolescente e natureza</div><div class="t m1 x1f h1b y21b ff9 fsd fc1 sc0 ls6 wsa">\u2022 Doença inflamatória intestinal</div><div class="t m1 x1f h1b y21c ff9 fsd fc1 sc0 ls6 wsa">\u2022 Doenças raras</div><div class="t m1 x1f h1b y21d ff9 fsd fc1 sc0 ls6 wsa">\u2022 Drogas e violência na adolescência</div><div class="t m1 x1f h1b y21e ff9 fsd fc1 sc0 ls6 wsa">\u2022 Educação é Saúde</div><div class="t m1 x1f h1b y21f ff9 fsd fc1 sc0 ls6 wsa">\u2022 Imunobiológicos em pediatria</div><div class="t m1 x1f h1b y220 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Metodologia científica</div><div class="t m1 x1f h1b y221 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Oftalmologia pediátrica</div><div class="t m1 x1f h1b y222 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Ortopedia pediátrica</div><div class="t m1 x1f h1b y223 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Pediatria e humanidades</div><div class="t m1 x1f h1b y224 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Políticas públicas para neonatologia</div><div class="t m1 x1f h1b y225 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Saúde mental</div><div class="t m1 x1f h1b y226 ff9 fsd fc1 sc0 ls6 wsa">\u2022 Saúde digital</div><div class="t m1 x21 h1c y16d ff8 fsd fc1 sc0 ls6">PRESIDENTE:</div><div class="t m1 x21 h1b y227 ff9 fsd fc1 sc0 ls6 wsa">Clóvis Francisco Constantino (SP)</div><div class="t m1 x21 h1c y228 ff8 fsd fc1 sc0 ls6 wsa">1º VICE-PRESIDENTE:</div><div class="t m1 x21 h1b y229 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x21 h1c y22a ff8 fsd fc1 sc0 ls6 wsa">2º VICE-PRESIDENTE:</div><div class="t m1 x21 h1b y22b ff9 fsd fc1 sc0 ls6 wsa">Anamaria Cavalcante e Silva (CE)</div><div class="t m1 x21 h1c y22c ff8 fsd fc1 sc0 ls6 wsa">SECRETÁRIO GERAL:</div><div class="t m1 x21 h1b y22d ff9 fsd fc1 sc0 ls6 wsa">Maria T<span class="blank _1"></span>ereza Fonseca da Costa (RJ)</div><div class="t m1 x21 h1c y22e ff8 fsd fc1 sc0 ls6 wsa">1º SECRETÁRIO:</div><div class="t m1 x21 h1b y22f ff9 fsd fc1 sc0 ls6 wsa">Ana Cristina Ribeiro Zöllner (SP)</div><div class="t m1 x21 h1c y230 ff8 fsd fc1 sc0 ls6 wsa">2º SECRETÁRIO:</div><div class="t m1 x21 h1b y231 ff9 fsd fc1 sc0 ls6 wsa">Rodrigo Aboudib Ferreira (ES)</div><div class="t m1 x21 h1c y232 ff8 fsd fc1 sc0 ls6 wsa">3º SECRETÁRIO:</div><div class="t m1 x21 h1b y233 ff9 fsd fc1 sc0 ls6 wsa">Claudio Hoineff (RJ)</div><div class="t m1 x21 h1c y234 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA FINANCEIRA:</div><div class="t m1 x21 h1b y235 ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x21 h1c y236 ff8 fsd fc1 sc0 ls6 wsa">2ª DIRETORIA FINANCEIRA:</div><div class="t m1 x21 h1b y237 ff9 fsd fc1 sc0 ls6 wsa">Maria Angelica Barcellos Svaiter (RJ)</div><div class="t m1 x21 h1c y238 ff8 fsd fc1 sc0 ls6 wsa">3ª DIRETORIA FINANCEIRA:</div><div class="t m1 x21 h1b y239 ff9 fsd fc1 sc0 ls6 wsa">Donizetti Dimer Giambernardino (PR)</div><div class="t m1 x21 h1c y23a ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE INTEGRAÇÃO REGIONAL</div><div class="t m1 x21 h1b y23b ff9 fsd fc1 sc0 ls6 wsa">Eduardo Jorge da Fonseca Lima (PE)</div><div class="t m1 x21 h1c y23c ff8 fsd fc1 sc0 ls6 wsa">COORDENADORES REGIONAIS</div><div class="t m1 x21 h1c y23d ff8 fsd fc1 sc0 ls6">NORTE:</div><div class="t m1 x21 h1b y23e ff9 fsd fc1 sc0 ls6 wsa">Adelma Alves de Figueiredo (RR)</div><div class="t m1 x21 h1c y23f ff8 fsd fc1 sc0 ls6">NORDESTE:</div><div class="t m1 x21 h1b y240 ff9 fsd fc1 sc0 ls6 wsa">Marynea Silva do Vale (MA)</div><div class="t m1 x21 h1c y241 ff8 fsd fc1 sc0 ls6 ws10f">SUDESTE<span class="ff9">:</span></div><div class="t m1 x21 h1b y242 ff9 fsd fc1 sc0 ls6 wsa">Marisa Lages Ribeiro (MG)</div><div class="t m1 x21 h1c y243 ff8 fsd fc1 sc0 ls6 ws10f">SUL<span class="ff9">:</span></div><div class="t m1 x21 h1b y244 ff9 fsd fc1 sc0 ls6 wsa">Cristina T<span class="blank _1"></span>arga Ferreira (RS)</div><div class="t m1 x21 h1c y245 ff8 fsd fc1 sc0 ls6">CENTRO-OESTE:</div><div class="t m1 x21 h1b y246 ff9 fsd fc1 sc0 ls6 wsa">Renata Belem Pessoa de Melo Seixas (DF)</div><div class="t m1 x21 h1c y247 ff8 fsd fc1 sc0 ls6 wsa">COMISSÃO DE SINDICÂNCIA</div><div class="t m1 x21 h1c y248 ff8 fsd fc1 sc0 ls6">TITULARES:</div><div class="t m1 x21 h1b y249 ff9 fsd fc1 sc0 ls6 wsa">Jose Hugo Lins Pessoa (SP)</div><div class="t m1 x21 h1b y24a ff9 fsd fc1 sc0 ls6 wsa">Marisa Lages Ribeiro (MG)</div><div class="t m1 x21 h1b y24b ff9 fsd fc1 sc0 ls6 wsa">Marynea Silva do Vale (MA)</div><div class="t m1 x21 h1b y24c ff9 fsd fc1 sc0 ls6 wsa">Paulo de Jesus Hartmann Nader (RS)</div><div class="t m1 x21 h1b y24d ff9 fsd fc1 sc0 ls6 wsa">Vilma Francisca Hutim Gondim de Souza (PA)</div><div class="t m1 x21 h1c y24e ff8 fsd fc1 sc0 ls6">SUPLENTES:</div><div class="t m1 x21 h1b y24f ff9 fsd fc1 sc0 ls6 wsa">Analiria Moraes Pimentel (PE)</div><div class="t m1 x21 h1b y250 ff9 fsd fc1 sc0 ls6 wsa">Dolores Fernanadez Fernandez (BA)</div><div class="t m1 x21 h1b y251 ff9 fsd fc1 sc0 ls6 wsa">Rosana Alves (ES)</div><div class="t m1 x21 h1b y252 ff9 fsd fc1 sc0 ls6 wsa">Silvio da Rocha Carvalho (RJ)</div><div class="t m1 x21 h1b y253 ff9 fsd fc1 sc0 ls6 wsa">Sulim Abramovici (SP)</div><div class="t m1 x21 h1c y254 ff8 fsd fc1 sc0 ls6 wsa">ASSESSORES DA PRESIDÊNCIA PARA POLÍTICAS PÚBLICAS:</div><div class="t m1 x21 h1c y255 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x21 h1b y256 ff9 fsd fc1 sc0 ls6 wsa">Maria T<span class="blank _1"></span>ereza Fonseca da Costa (RJ)</div><div class="t m1 x21 h1c y257 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA E COORDENAÇÕES</div><div class="t m1 x21 h1c y258 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE QUALIFICAÇÃO E CERTIFICAÇÃO </div><div class="t m1 x21 h1c y259 ff8 fsd fc1 sc0 ls6">PROFISSIONAL</div><div class="t m1 x21 h1b y25a ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x21 h1b y25b ff9 fsd fc1 sc0 ls6 wsa">José Hugo de Lins Pessoa (SP)</div><div class="t m1 x21 h1b y25c ff9 fsd fc1 sc0 ls6 wsa">Maria Angelica Barcellos Svaiter (RJ)</div><div class="t m1 x21 h1c y25d ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DE ÁREA DE ATUAÇÃO</div><div class="t m1 x21 h1b y25e ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x21 h1c y25f ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DO CEXTEP (COMISSÃO EXECUTIVA DO </div><div class="t m1 x21 h1c y260 ff8 fsd fc1 sc0 ls6 wsa">TÍTULO DE ESPECIALISTA EM PEDIATRIA)</div><div class="t m1 x21 h1c y261 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x21 h1b y262 ff9 fsd fc1 sc0 ls6 wsa">Hélcio Villaça Simões (RJ) </div><div class="t m1 x21 h1c y263 ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO ADJUNTA:</div><div class="t m1 x21 h1b y264 ff9 fsd fc1 sc0 ls6 wsa">Ricardo do Rego Barros (RJ)</div><div class="t m1 x21 h1c y265 ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x21 h1b y266 ff9 fsd fc1 sc0 ls6 wsa">Clovis Francisco Constantino (SP) - Licenciado</div><div class="t m1 x21 h1b y267 ff9 fsd fc1 sc0 ls6 wsa">Ana Cristina Ribeiro Zöllner (SP)</div><div class="t m1 x21 h1b y268 ff9 fsd fc1 sc0 ls6 wsa">Carla Príncipe Pires C. Vianna Braga (RJ)</div><div class="t m1 x21 h1b y269 ff9 fsd fc1 sc0 ls6 wsa">Cristina Ortiz Sobrinho Valete (RJ)</div><div class="t m1 x21 h1b y26a ff9 fsd fc1 sc0 ls6 wsa">Grant Wall Barbosa de Carvalho Filho (RJ)</div><div class="t m1 x21 h1b y26b ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x21 h1b y26c ff9 fsd fc1 sc0 ls6 wsa">Silvio Rocha Carvalho (RJ)</div><div class="t m1 x21 h1c y26d ff8 fsd fc1 sc0 ls6 wsa">COMISSÃO EXECUTIVA DO EXAME PARA OBTENÇÃO DO </div><div class="t m1 x21 h1c y26e ff8 fsd fc1 sc0 ls6 wsa">TÍTULO DE ESPECIALISTA EM PEDIATRIA AVALIAÇÃO </div><div class="t m1 x21 h1c y26f ff8 fsd fc1 sc0 ls6">SERIADA</div><div class="t m1 x21 h1c y270 ff8 fsd fc1 sc0 ls6">COORDENAÇÃO:</div><div class="t m1 x21 h1b y271 ff9 fsd fc1 sc0 ls6 wsa">Eduardo Jorge da Fonseca Lima (PE)</div><div class="t m1 x21 h1b y272 ff9 fsd fc1 sc0 ls6 wsa">Luciana Cordeiro Souza (PE)</div><div class="t m1 x21 h1c y273 ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x21 h1b y274 ff9 fsd fc1 sc0 ls6 wsa">João Carlos Batista Santana (RS)</div><div class="t m1 x21 h1b y275 ff9 fsd fc1 sc0 ls6 wsa">Victor Horácio de Souza Costa Junior (PR)</div><div class="t m1 x21 h1b y276 ff9 fsd fc1 sc0 ls6 wsa">Ricardo Mendes Pereira (SP)</div><div class="t m1 x21 h1b y277 ff9 fsd fc1 sc0 ls6 wsa">Mara Morelo Rocha Felix (RJ)</div><div class="t m1 x21 h1b y278 ff9 fsd fc1 sc0 ls6 wsa">Vera Hermina Kalika Koch (SP)</div><div class="t m1 x21 h1c y279 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE RELAÇÕES INTERNACIONAIS</div><div class="t m1 x21 h1b y27a ff9 fsd fc1 sc0 ls6 wsa">Nelson Augusto Rosário Filho (PR)</div><div class="t m1 x21 h1b y27b ff9 fsd fc1 sc0 ls6 wsa">Sergio Augusto Cabral (RJ)</div><div class="t m1 x21 h1c y27c ff8 fsd fc1 sc0 ls6 wsa">REPRESENTANTE NA AMÉRICA LATINA</div><div class="t m1 x21 h1b y27d ff9 fsd fc1 sc0 ls6 wsa">Ricardo do Rego Barros (RJ)</div><div class="t m1 x21 h1c y27e ff8 fsd fc1 sc0 ls16 wsa">INTERCÂMBIO COM OS PAÍSES DA LÍNGUA PORTUGUESA</div><div class="t m1 x21 h1b y27f ff9 fsd fc1 sc0 ls6 wsa">Marcela Damasio Ribeiro de Castro (MG)</div><div class="t m1 x22 h1c y16d ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE DEFESA PROFISSIONAL</div><div class="t m1 x22 h1c y280 ff8 fsd fc1 sc0 ls6">DIRETOR:</div><div class="t m1 x22 h1b y281 ff9 fsd fc1 sc0 ls6 wsa">Fabio Augusto de Castro Guerra (MG)</div><div class="t m1 x22 h1c y282 ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA ADJUNTA:</div><div class="t m1 x22 h1b y283 ff9 fsd fc1 sc0 ls6 wsa">Sidnei Ferreira (RJ)</div><div class="t m1 x22 h1b y284 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x22 h1c y285 ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x22 h1b y286 ff9 fsd fc1 sc0 ls6 wsa">Gilberto Pascolat (PR)</div><div class="t m1 x22 h1b y175 ff9 fsd fc1 sc0 ls6 wsa">Paulo T<span class="blank _1"></span>adeu Falanghe (SP)</div><div class="t m1 x22 h1b y176 ff9 fsd fc1 sc0 ls6 wsa">Cláudio Orestes Britto Filho (PB)</div><div class="t m1 x22 h1b y177 ff9 fsd fc1 sc0 ls6 wsa">Ricardo Maria Nobre Othon Sidou (CE)</div><div class="t m1 x22 h1b y178 ff9 fsd fc1 sc0 ls6 wsa">Anenisia Coelho de Andrade (PI)</div><div class="t m1 x22 h1b y287 ff9 fsd fc1 sc0 ls6 wsa">Isabel Rey Madeira (RJ)</div><div class="t m1 x22 h1b y288 ff9 fsd fc1 sc0 ls6 wsa">Donizetti Dimer Giamberardino Filho (PR)</div><div class="t m1 x22 h1b y289 ff9 fsd fc1 sc0 ls6 wsa">Jocileide Sales Campos (CE)</div><div class="t m1 x22 h1b y28a ff9 fsd fc1 sc0 ls6 wsa">Carlindo de Souza Machado e Silva Filho (RJ)</div><div class="t m1 x22 h1b y28b ff9 fsd fc1 sc0 ls6 wsa">Corina Maria Nina Viana Batista (AM)</div><div class="t m1 x22 h1c y17e ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA CIENTÍFICA</div><div class="t m1 x22 h1c y28c ff8 fsd fc1 sc0 ls6 wsa">DIRETOR: </div><div class="t m1 x22 h1b y28d ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1c y28e ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA CIENTÍFICA - ADJUNTA</div><div class="t m1 x22 h1b y28f ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1c y290 ff8 fsd fc1 sc0 ls6 wsa">DEPARTAMENTOS CIENTÍFICOS:</div><div class="t m1 x22 h1b y291 ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1b y292 ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1c y293 ff8 fsd fc1 sc0 ls6 wsa">GRUPOS DE TRABALHO</div><div class="t m1 x22 h1b y294 ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1b y295 ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1c y296 ff8 fsd fc1 sc0 ls6 wsa">MÍDIAS EDUCACIONAIS</div><div class="t m1 x22 h1b y297 ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1b y298 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x22 h1b y299 ff9 fsd fc1 sc0 ls6 wsa">Rosana Alves (ES)</div><div class="t m1 x22 h1b y29a ff9 fsd fc1 sc0 ls6 wsa">Ana Alice Ibiapina Amaral Parente (ES)</div><div class="t m1 x22 h1c y29b ff8 fsd fc1 sc0 ls6 wsa">PROGRAMAS NACIONAIS DE ATUALIZAÇÃO</div><div class="t m1 x22 h1c y29c ff8 fsd fc1 sc0 ls6 wsa">PEDIATRIA - PRONAP </div><div class="t m1 x22 h1b y29d ff9 fsd fc1 sc0 ls6 wsa">Fernanda Luisa Ceragioli Oliveira (SP)</div><div class="t m1 x22 h1b y29e ff9 fsd fc1 sc0 ls6 wsa">T<span class="blank _1"></span>ulio Konstantyner (SP)</div><div class="t m1 x22 h1b y29f ff9 fsd fc1 sc0 ls6 wsa">Claudia Bezerra Almeida (SP)</div><div class="t m1 x22 h1c y2a0 ff8 fsd fc1 sc0 ls6 wsa">NEONATOLOGIA - PRORN</div><div class="t m1 x22 h1b y2a1 ff9 fsd fc1 sc0 ls6 wsa">Renato Soibelmann Procianoy (RS)</div><div class="t m1 x22 h1b y2a2 ff9 fsd fc1 sc0 ls6 wsa">Clea Rodrigues Leone (SP)</div><div class="t m1 x22 h1c y2a3 ff8 fsd fc1 sc0 ls6 wsa">TERAPIA INTENSIVA PEDIÁTRICA - PROTIPED</div><div class="t m1 x22 h1b y2a4 ff9 fsd fc1 sc0 ls6 wsa">Werther Bronow de Carvalho (SP)</div><div class="t m1 x22 h1c y2a5 ff8 fsd fc1 sc0 ls6 wsa">TERAPÊUTICA PEDIÁTRICA - PROPED</div><div class="t m1 x22 h1b y2a6 ff9 fsd fc1 sc0 ls6 wsa">Claudio Leone (SP)</div><div class="t m1 x22 h1b y2a7 ff9 fsd fc1 sc0 ls6 wsa">Sérgio Augusto Cabral (RJ)</div><div class="t m1 x22 h1c y2a8 ff8 fsd fc1 sc0 ls6 wsa">EMERGÊNCIA PEDIÁTRICA - PROEMPED</div><div class="t m1 x22 h1b y2a9 ff9 fsd fc1 sc0 ls6 wsa">Hany Simon Júnior (SP)</div><div class="t m1 x22 h1b y2aa ff9 fsd fc1 sc0 ls6 wsa">Gilberto Pascolat (PR)</div><div class="t m1 x22 h1c y2ab ff8 fsd fc1 sc0 ls6 wsa">DOCUMENTOS CIENTÍFICOS</div><div class="t m1 x22 h1b y2ac ff9 fsd fc1 sc0 ls6 wsa">Emanuel Savio Cavalcanti Sarinho (PE)</div><div class="t m1 x22 h1b y2ad ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1b y2ae ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1c y2af ff8 fsd fc1 sc0 ls6">PUBLICAÇÕES</div><div class="t m1 x22 h1c y2b0 ff8 fsd fc1 sc0 ls6 wsa">TRATADO DE PEDIATRIA</div><div class="t m1 x22 h1b y2b1 ff9 fsd fc1 sc0 ls6 wsa">Fábio Ancona Lopes (SP)</div><div class="t m1 x22 h1b y2b2 ff9 fsd fc1 sc0 ls6 wsa">Luciana Rodrigues Silva (BA)</div><div class="t m1 x22 h1b y2b3 ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1b y2b4 ff9 fsd fc1 sc0 ls6 wsa">Clovis Artur Almeida da Silva (SP)</div><div class="t m1 x22 h1b y2b5 ff9 fsd fc1 sc0 ls6 wsa">Clóvis Francisco Constantino (SP)</div><div class="t m1 x22 h1b y2b6 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x22 h1b y2b7 ff9 fsd fc1 sc0 ls6 wsa">Anamaria Cavalcante e Silva (CE)</div><div class="t m1 x22 h1c y2b8 ff8 fsd fc1 sc0 ls6 wsa">OUTROS LIVROS</div><div class="t m1 x22 h1b y2b9 ff9 fsd fc1 sc0 ls6 wsa">Fábio Ancona Lopes (SP)</div><div class="t m1 x22 h1b y2ba ff9 fsd fc1 sc0 ls6 wsa">Dirceu Solé (SP)</div><div class="t m1 x22 h1b y2bb ff9 fsd fc1 sc0 ls6 wsa">Clóvis Francisco Constantino (SP)</div><div class="t m1 x22 h1c y2bc ff8 fsd fc1 sc0 ls6 wsa">DIRETORIA DE CURSOS, EVENTOS E PROMOÇÕES</div><div class="t m1 x22 h1c y2bd ff8 fsd fc1 sc0 ls6">DIRETORA:</div><div class="t m1 x22 h1b y2be ff9 fsd fc1 sc0 ls6 wsa">Lilian dos Santos Rodrigues Sadeck (SP)</div><div class="t m1 x22 h1c y2bf ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x22 h1b y2c0 ff9 fsd fc1 sc0 ls6 wsa">Ricardo Queiroz Gurgel (SE)</div><div class="t m1 x22 h1b y2c1 ff9 fsd fc1 sc0 ls6 wsa">Paulo César Guimarães (RJ)</div><div class="t m1 x22 h1b y2c2 ff9 fsd fc1 sc0 ls6 wsa">Cléa Rodrigues Leone (SP)</div><div class="t m1 x22 h1b y2c3 ff9 fsd fc1 sc0 ls6 wsa">Paulo T<span class="blank _1"></span>adeu de Mattos Prereira Poggiali (MG)</div><div class="t m1 x22 h1c y2c4 ff8 fsd fc1 sc0 ls16 wsa">COORDENAÇÃO DO PROGRAMA DE REANIMAÇÃO NEONATAL</div><div class="t m1 x22 h1b y2c5 ff9 fsd fc1 sc0 ls6 wsa">Maria Fernanda Branco de Almeida (SP)</div><div class="t m1 x22 h1b y2c6 ff9 fsd fc1 sc0 ls6 wsa">Ruth Guinsburg (SP)</div><div class="t m1 x22 h1c y2c7 ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO DO CURSO DE APRIMORAMENTO </div><div class="t m1 x22 h1c y2c8 ff8 fsd fc1 sc0 ls6 wsa">EM NUTROLOGIA PEDIÁTRICA (CANP)</div><div class="t m1 x22 h1b y2c9 ff9 fsd fc1 sc0 ls6 wsa">Virgínia Resende Silva Weffort (MG)</div><div class="t m1 x22 h1c y2ca ff8 fsd fc1 sc0 ls6 wsa">PEDIATRIA PARA FAMÍLIAS</div><div class="t m1 x22 h1c y2cb ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO GERAL:</div><div class="t m1 x22 h1b y2cc ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div><div class="t m1 x22 h1c y2cd ff8 fsd fc1 sc0 ls6 wsa">COORDENAÇÃO OPERACIONAL:</div><div class="t m1 x22 h1b y2ce ff9 fsd fc1 sc0 ls6 wsa">Nilza Maria Medeiros Perin (SC)</div><div class="t m1 x22 h1b y2cf ff9 fsd fc1 sc0 ls6 wsa">Renata Dejtiar Waksman (SP)</div><div class="t m1 x22 h1c y2d0 ff8 fsd fc1 sc0 ls6">MEMBROS:</div><div class="t m1 x22 h1b y2d1 ff9 fsd fc1 sc0 ls6 wsa">Adelma Alves de Figueiredo (RR)</div><div class="t m1 x22 h1b y2d2 ff9 fsd fc1 sc0 ls6 wsa">Marcia de Freitas (SP)</div><div class="t m1 x22 h1b y2d3 ff9 fsd fc1 sc0 ls6 wsa">Nelson Grisard (SC)</div><div class="t m1 x22 h1b y2d4 ff9 fsd fc1 sc0 ls6 wsa">Normeide Pedreira dos Santos Franca (BA)</div><div class="t m1 x22 h1c y2d5 ff8 fsd fc1 sc0 ls6 wsa">PORTAL SBP</div><div class="t m1 x22 h1b y2d6 ff9 fsd fc1 sc0 ls6 wsa">Clovis Francisco Constantino (SP)</div><div class="t m1 x22 h1b y2d7 ff9 fsd fc1 sc0 ls6 wsa">Edson Ferreira Liberal (RJ)</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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