The patient was a 38 year old white woman who was born in Rio de Janeiro. In 2010 she came to the hospital after two months clinical evolution characterized by inflammatory polyarthritis of her hands, wrists, elbows and knees associated with erythematous macules on her extremities, a daily fever of 38.5 C, profuse diarrhea, muscular weakness and involuntary weight loss of 10 kg. She had no signs of anorexia or sitophobia.
Paciente de sexo femenino, 38 años, blanca, natural de Río de Janeiro, inicia en el 2010 con cuadro clínico de 2 meses de evolución caracterizado por poliartritis inflamatoria de manos, muñecas, codos y rodillas asociada a máculas eritematosas en extremidades, fiebre diaria 38.5 °C, diarrea profusa, debilidad muscular y pérdida de peso involuntaria de 10 kg, sin anorexia y sin sitiofobia.