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Related Experiment Videos

Articular hypermobility simulating chronic rheumatic disease.

R M Lewkonia, B M Ansell

    Archives of Disease in Childhood
    |December 1, 1983
    PubMed
    Summary

    Articular hypermobility syndrome is often unrecognized in children, with many misdiagnosed with inflammatory arthritis. Localized hypermobility and later symptom onset in girls contribute to underdiagnosis.

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    Area of Science:

    • Pediatric Rheumatology
    • Clinical Hypermobility Syndromes

    Background:

    • Articular hypermobility is a condition characterized by excessive joint flexibility.
    • Syndromes associated with joint hypermobility are often underrecognized in pediatric populations.
    • Misdiagnosis as inflammatory arthritis can delay appropriate management.

    Purpose of the Study:

    • To investigate the recognition and characteristics of articular hypermobility syndrome in a pediatric cohort.
    • To identify factors contributing to the underdiagnosis of hypermobility syndromes.

    Main Methods:

    • Retrospective survey of 54 children with symptoms related to articular hypermobility.
    • Analysis of patient demographics, symptom onset, and diagnostic history.

    Main Results:

    • The syndrome was infrequently recognized before referral in 78% of cases.
    • Girls represented the majority of patients (78%) with a later mean age of symptom onset (11 years) compared to boys.
    • Localized hypermobility was more common than generalized hypermobility, potentially explaining underrecognition.

    Conclusions:

    • Articular hypermobility syndrome is significantly underrecognized in children.
    • Delayed diagnosis is common, with patients often treated for other conditions like inflammatory arthritis.
    • Localized hypermobility and later symptom onset in girls are key factors contributing to diagnostic challenges.

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