■关节疼痛是高流动性Ehlers-Danlos综合征(hEDS)患者的常见症状,高迁移率谱系障碍(HSD)和纤维肌痛。这项研究的目的是确定诊断为hEDS/HSD和/或纤维肌痛的患者的症状和合并症是否重叠。
■我们回顾性地检查了诊断为hEDS/HSD患者的EDS诊所摄入问卷的自我报告数据,纤维肌痛,或两者都与以共同问题为重点的控制。
■来自EDS诊所的733名患者,56.5%(n=414)被诊断为hEDS/HSD和纤维肌痛(Fibro),23.8%(n=167)hEDS/HSD,13.3%(n=98)纤维肌痛,或7.4%(n=54)没有这些诊断。诊断为HSD的患者(76.6%)多于hEDS(23.4%)。患者主要是白人(95%)和女性(90%),中位年龄在30多岁(对照组36.7[18.0,70.0],纤维肌痛39.7[18.0,75.0],hEDS/HSD35.0[18.0,71.0],hEDS/HSD&Fibro31.0[18.0,63.0])。我们在诊断为仅纤维肌痛或hEDS/HSD和Fibro的患者中检查的所有40种症状/合并症都存在高度重叠,无论他们是否患有hEDS或HSD。仅患有hEDS/HSD而没有纤维肌痛的患者的症状/合并症远少于患有hEDS/HSD和纤维蛋白的患者。只有纤维肌痛的患者自我报告的主要问题是关节痛,书写或打字时手部疼痛,脑雾,从日常活动中保持关节疼痛,过敏/特应性和头痛。诊断为hEDS/HSD&Fibro的五个显著且独特的问题是半脱位(hEDS患者的脱位),像扭伤这样的联合问题,由于受伤而需要停止运动,伤口愈合不良,还有偏头痛.
在EDS诊所看到的大多数患者被诊断为hEDS/HSD加纤维肌痛,这与更严重的疾病相关。我们的研究结果表明,应该对hEDS/HSD患者进行常规评估,反之亦然,以改善患者护理。
UNASSIGNED: Joint pain is a common symptom in patients with hypermobile Ehlers-Danlos Syndrome (hEDS), hypermobility spectrum disorders (HSD) and fibromyalgia. The goal of this study was to determine whether symptoms and comorbidities overlap in patients diagnosed with hEDS/HSD and/or fibromyalgia.
UNASSIGNED: We retrospectively examined self-reported data from an EDS Clinic intake questionnaire in patients diagnosed with hEDS/HSD, fibromyalgia, or both vs. controls with an emphasis on joint issues.
UNASSIGNED: From 733 patients seen at the EDS Clinic, 56.5% (n = 414) were diagnosed with hEDS/HSD and fibromyalgia (Fibro), 23.8% (n = 167) hEDS/HSD, 13.3% (n = 98) fibromyalgia, or 7.4% (n = 54) none of these diagnoses. More patients were diagnosed with HSD (76.6%) than hEDS (23.4%). Patients were primarily White (95%) and female (90%) with a median age in their 30s (controls 36.7 [18.0, 70.0], fibromyalgia 39.7 [18.0, 75.0], hEDS/HSD 35.0 [18.0, 71.0], hEDS/HSD&Fibro 31.0 [18.0, 63.0]). There was high overlap in all 40 symptoms/comorbidities that we examined in patients diagnosed with fibromyalgia only or hEDS/HSD&Fibro, regardless of whether they had hEDS or HSD. Patients that only had hEDS/HSD without fibromyalgia had far fewer symptoms/comorbidities than patients with hEDS/HSD&Fibro. The top self-reported issues in patients that only had fibromyalgia were joint pain, hand pain when writing or typing, brain fog, joint pain keeping from daily activities, allergy/atopy and headache. Five issues that significantly and uniquely characterized patients diagnosed with hEDS/HSD&Fibro were subluxations (dislocations in hEDS patients), joint issues like sprains, the need to stop sports due to injuries, poor wound healing, and migraine.
UNASSIGNED: The majority of patients seen at the EDS Clinic had a diagnosis of hEDS/HSD plus fibromyalgia that was associated with more severe disease. Our findings indicate that fibromyalgia should be routinely assessed in patients with hEDS/HSD and vis-a-versa to improve patient care.