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Articles

Title: Hypermobility syndrome as a cause of arthralgia in children

Author:
Elżbieta Smolewska, Henryka Brózik, Jerzy Stańczyk
Type:
Original articles
Language:
PL
Journal:
Pediatric Review
Year:
2004
Volume:
34
Number:
1
Start page:
13
Final page:
16
ISSN:
0137-723X
Keywords:
joints hypermobility, arthralgia, children’s rheumatic diseases
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Symptoms from the locomotor system are frequent complaints of children in general practitioners surgeries. One of the most common symptoms is reactive arthralgia in the course of viral, bacterial and parasitic infections. Hypermobility syndrome (HS) is a less known cause of arthralgia in children. It is defined as an enhanced mobility of large and small joints without symptoms of systemic rheumatic disease. HS is considered as genetically determined disorder characterized by impaired synthesis of collagen. Frequency of this syndrome is estimated at 5-18% with predominance in girls and young children. Nine points Beighton scale is helpful in establishing of the diagnosis. Clinical picture of HS can be very complex, however the main symptoms are myalgia and arthralgia. Sometimes HS coexists with mitral valve prolapse, chronic constipation, dysfunction of urinary tract and uterovaginal prolapse. Treatment of HS is based on various types of physiotherapeutic techniques as appropriate and local corticosteroids injections.