1. Service of Rheumatology, Santa Isabel Hospital, Praça Almeida Couto 500, 40050-405 Salvador, BA, Brazil
2. Specialized Services in Rheumatology of Bahia, Rua Conde Filho 117, Graça, 40150-150 Salvador, BA, Brazil
3. Department of Internal Medicine, Bahiana School of Medicine and Public Health, Avenida Dom João VI 275, Brotas, 40290-000 Salvador, BA, Brazil