1. School of Medicine, Postgraduate Program of Health Sciences, Pontifícia Universidade Católica do Paraná–PUCPR, Curitiba, Brazil
2. School of Medicine, Postgraduate Program of Health Sciences, Pontifícia Universidade Católica do Paraná–PUCPR, Curitiba, Brazil
3. Rheumatology Unit, Hospital Universitário Mackenzie, Curitiba, Brazil