<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742018000200134</article-id>
<article-id pub-id-type="doi">10.18004/rdn2018.010.02.134-138</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Rhupus. Superposición infrecuente]]></article-title>
<article-title xml:lang="en"><![CDATA[Rhupus syndrome. Uncommon overlap]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zorrilla Urán]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[Nestor Hernán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nuñez Alarcón]]></surname>
<given-names><![CDATA[Rosmarie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brizueña López]]></surname>
<given-names><![CDATA[Karen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Previsión Social - Hospital Central Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221; Facultad de Medicina]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>10</volume>
<numero>2</numero>
<fpage>134</fpage>
<lpage>138</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742018000200134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742018000200134&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742018000200134&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de una mujer joven, con antecedente de 3 meses de astenia, acompañada de rigidez y dolor en articulaciones pequeñas y grandes, además lesiones rojo violáceas, pruriginosas, confluentes, no dolorosas, generalizadas, en las últimas 2 semanas previas a su consulta, sangrado de encías y epistaxis. En hemograma trombocitopenia y leucopenia. Punción aspiración de medula ósea compatible con purpura trombocitopénica inmunitaria. Marcadores de Lupus eritematoso y artritis reumatoide positivos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT We present the case of a young woman, with a history of 3 months of asthenia, accompanied by stiffness and pain in small and large joints, as well as violaceous, pruritic, confluent, non-painful, widespread lesions in the last 2 weeks prior to her consultation, bleeding gums and epistaxis. In blood count thrombocytopenia and leukopenia. Aspiration puncture of bone marrow compatible with thrombocytopenic purpura. Markers of Lupus erythematosus and rheumatoid arthritis positive.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[Artritis Reumatoide]]></kwd>
<kwd lng="es"><![CDATA[Purpura trombocitopénica idiopática]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Rhupus.]]></kwd>
<kwd lng="en"><![CDATA[Systemic lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[Rheumatoid arthritis]]></kwd>
<kwd lng="en"><![CDATA[Idiopathic thrombocytopenic purpura]]></kwd>
<kwd lng="en"><![CDATA[Rhupus syndrome.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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