RESUMO

UNLABELLED: In order to review the rise in joint hypermobility syndrome, identify the patterns associated with this diagnosis and correlate its most relevant symptoms, we did a descriptive transversal analytic study in a group of 280 young people of both genders between 15 and 17 years of age. A survey was carried out by the authors in order to get reach these objectives. The data were analyzed by means of descriptive statistics and processed with the Epidat3.1 software package. Results are shown in charts. RESULTS: The joint hypermobility syndrome (JHS) was diagnosed in 32 people (11,4% of the population studied) with mean age 15,7 years, predominance in the female sex and in the white skin group (p<0,01) 53.1% of those patients with hypermobility presented skin lesions associated to hereditary diseases of the connective tissue; among them the most relevant clinical sign was the presence of hematomas (p=0.003). Symptoms of dysautonomia were associated to JHS (p⩽0.05) and correlated positively with the presence of hematomas. Moderate and severe chronic pain was also a feature of patients with the syndrome (p=0.001) and was correlated in a positive manner to the hematomas. CONCLUSIONS: Vascular affection as demonstrated by the formation of hematomas was the skin lesion more important among young people with JHS in this study. These lesions can be representative of the syndrome and a translate a larger damage at the connective tissue level.

RESUMO

Se estudiaron 44 pacientes adultos (6 del sexo masculino y 38 del femenino) con diagnóstico de artritis reumatoidea de la consulta externa del Hospital General Docente "Aleida Fernández Chardiet", de Güines, provincia de La Habana, para conocer la frecuencia, tipos y características de la enfermedad extraarticular asociada. Se encontró enfermedad extraarticular en el 66 % de los pacientes estudiados; las manifestaciones más frecuentes fueron los nódulos reumatoideos, la anemia y el síndrome del túnel carpiano. No se encontró relación entre la enfermedad extraarticular y el sexo de los pacientes afectados, pero sí con la forma poliarticular de la artritis reumatoidea (p < 0,001) y el tiempo de evolución de la enfermedad (p < 0,001). Los nódulos reumatoideos, la polineuropatía sensorial y las manifestaciones cardíacas se asociaron significativamente (p < 0,001) a pacientes con factor reumatoideo positivo.

44 adult patients (6 males and 38 females) with diagnosis of rheumatoid arthritis from the outpatient department of the "Aleida Fernández Chardiet" General Teaching Hospital in Güines, province of Havana, were studied to know frequency, types, and characteristics of the associated extraarticular disease. Extraarticular disease was found in 68 % of the patients studied. The most frequent manifestations were the reumatoid nodules, anemia, and the carpal tunnel syndrome. No relationship was found between the extraarticular disease and the sex of the patients; however, it was observed a relationship between the polyarticular form of the rheumatoid arthritis (p < 0,001) and the time of evolution of the disease (p < 0,001). The rheumatoid nodules, the sensorial polyneuropathy, and the cardiac manifestations were significantly associated (p < 0,001) to patients with a positive rheumatoid factor.

On a étudié 44 patients adultes (6 du sexe masculin et 38 du féminin) avec diagnostic d'arthrite rhumatoïde appartenant à la consultation externe de l'Hôpital Général Universitaire "Aleida Fernández Chardiet", à Güines, province de La Havane, afin de connaître la fréquence, types et caractéristiques de la maladie extraarticulaire associée. On a trouvé maladie extra-articulaire chez 68 % des patients étudiés; les manifestations les plus fréquentes furent les nodules rhumatoïdes, l'anémie et le syndrome du tunnel carpien. On n'a pas trouvé de rapport entre la maladie extra-articulaire et le sexe des patients affectés, mais on l'a trouvé avec la forme polyarticulaire de l'arthrite rhumatoïde (p < 0,001) et le temps d'évolution de la maladie (p < 0,001). Les nodules rhumatoïdes, la polyneuropathie sensorielle et les manifestations cardiaques ont été significativement associés (p < 0,001) aux patients avec facteur rhumatoïde positif.