Bravo Jaime F
Departamento de Reumatología, Departamento de Medicina Occidente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2009 Nov;137(11):1488-97. Epub 2010 Jan 13.
There is an urgent need to increase the awareness on the Joint Hyper mobility Syndrome QHS). This is a congenital and prevalent emergent condition that is frequently undiagnosed and that causes significant health problems. Besides recurrent muscular-skeletal problems and signs and symptoms derived from tissue fragility, adolescents and young adults may develop osteoporosis, early osteoarthritis or dysautonomia, that are common in the disease, and deteriorate quality of life. Many JHS patients have signs and symptoms suggestive of fibromyalgia and are usually misdiagnosed. Physicians should be able to differentiate the less severe form of JHS from the Vascular Ehlers-Danlos Syndrome, to diagnose it before the appearance of serious complications and even death. The study of these diseases is a promising area for genomic and rheumatologic research.
迫切需要提高对关节过度活动综合征(JHS)的认识。这是一种先天性且普遍存在的急症,常常未被诊断出来,会引发严重的健康问题。除了反复出现的肌肉骨骼问题以及因组织脆弱而产生的体征和症状外,青少年和青年成年人可能会患上骨质疏松症、早期骨关节炎或自主神经功能障碍,这些在该疾病中很常见,会降低生活质量。许多JHS患者有提示纤维肌痛的体征和症状,通常会被误诊。医生应能够将症状较轻的JHS形式与血管性埃勒斯-当洛综合征区分开来,在严重并发症甚至死亡出现之前进行诊断。对这些疾病的研究是基因组学和风湿病学研究的一个有前景的领域。