Suppr超能文献

关节过度活动综合征:认识慢性疼痛的一个常被忽视的原因。

Joint Hypermobility Syndrome: Recognizing a Commonly Overlooked Cause of Chronic Pain.

作者信息

Kumar Bharat, Lenert Petar

机构信息

Division of Immunology, University of Iowa, Iowa City.

Division of Immunology, University of Iowa, Iowa City.

出版信息

Am J Med. 2017 Jun;130(6):640-647. doi: 10.1016/j.amjmed.2017.02.013. Epub 2017 Mar 10.

Abstract

Joint hypermobility syndrome, also known as benign hypermobility syndrome, is a connective tissue disease characterized by joint instability, chronic pain, and minor skin changes. It shares many clinical features of Ehlers-Danlos syndrome, Hypermobility Type; enough so that many authorities consider them as one disease process. Approximately 3% of the general population is believed to have joint hypermobility syndrome, but despite this high prevalence, due to lack of awareness, heterogeneity of clinical presentation, and reliance on physical examination for diagnosis, it is largely overlooked by primary care physicians as well as by specialists. This leads to delayed or missed opportunities for diagnosis, and inappropriate interventions that frustrate both providers and patients. We review the literature regarding the pathophysiology, diagnosis, treatment options, and prognosis of joint hypermobility syndrome, and advocate for primary care physicians to consider it in the differential diagnosis of patients with chronic pain.

摘要

关节过度活动综合征,也称为良性关节过度活动综合征,是一种结缔组织疾病,其特征为关节不稳定、慢性疼痛和轻微皮肤变化。它与埃勒斯-当洛综合征(过度活动型)有许多临床特征;以至于许多权威机构将它们视为同一疾病过程。据信,普通人群中约3%患有关节过度活动综合征,但尽管患病率很高,但由于认识不足、临床表现的异质性以及依赖体格检查进行诊断,它在很大程度上被初级保健医生以及专科医生忽视。这导致诊断机会延迟或错过,以及不适当的干预措施,使医疗服务提供者和患者都感到沮丧。我们回顾了有关关节过度活动综合征的病理生理学、诊断、治疗选择和预后的文献,并主张初级保健医生在对慢性疼痛患者进行鉴别诊断时考虑该病。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验