Brazilian version of the foot health status questionnaire (FHSQ-BR): cross-cultural adaptation and evaluation of measurement properties

OBJECTIVE: To conduct a cross-cultural adaptation of the Foot Health Status Questionnaire into Brazilian-Portuguese and to assess its measurement properties. INTRODUCTION: This instrument is an outcome measure with 10 domains with scores ranging from 0-100, worst to best, respectively. The translated instrument will improve the examinations and foot care of rheumatoid arthritis patients. METHODS: The questions were translated, back-translated, evaluated by a multidisciplinary committee and pre-tested (n = 40 rheumatoid arthritis subjects). The new version was submitted to a field test (n = 65) to evaluate measurement properties such as test-retest reliability, internal consistency and construct validity. The Health Assessment Questionnaire, Numeric Rating Scale for foot pain and Sharp/van der Heijde scores for foot X-rays were used to test the construct validity. RESULTS: The cross-cultural adaptation was completed with minor wording adaptations from the original instrument. The evaluation of measurement properties showed high reliability with low variation coefficients between interviews. The a-Cronbach coefficients varied from 0.468 to 0.855, while correlation to the Health Assessment Questionnaire and Numeric Rating Scale was statistically significant for five out of eight domains. DISCUSSION: Intra- and inter-observer correlations showed high reliability. Internal consistency coefficients were high for all domains, revealing higher values for less subjective domains. As for construct validity, each domain revealed correlations with a specific group of parameters according to what the domains intended to measure. CONCLUSION: The FHSQ was cross-culturally adapted, generating a reliable, consistent, and valid instrument that is useful for evaluating foot health in patients with rheumatoid arthritis.

Lesao immunoproliferativa angiocêntrica: um diagnóstico diferencial com granulomatose de Wegener / Angiocentric immunoproliferative lesion: differential diagnosis with Wegener's granulomatosis

Descreve-se um caso fatal, numa paciente feminina com história de "sinusite crônica" e lesao em bordo interno de olho D desde há quatro meses, que evoluiu com necrose extensa de pele e tecido adjacente dos ossos da face. Apresentava concomitante lesao pulmonar bilateral. O diagnóstico, feito por biópsia profunda da lesao cutânea, foi de lesao imunoproliferativa angiocêntrica, que é o termo atual para designar a granulomatose linfomatóide, o granuloma letal de linha média e o linfoma angiocêntrico. O interesse da apresentaçao desta doença é que ela entra no diagnóstico diferencial das vasculites, particularmente na granulomatose de Wegener