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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In order to review the rise in joint hypermobility syndrome&#44; identify the patterns associated with this diagnosis and correlate its most relevant symptoms&#44; we did a descriptive transversal analytic study in a group of 280 young people of both genders between 15 and 17 years of age&#46; A survey was carried out by the authors in order to get reach these objectives&#46; The data were analyzed by means of descriptive statistics and processed with the Epidat3&#46;1 software package&#46; Results are shown in charts&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The joint hypermobility syndrome &#40;JHS&#41; was diagnosed in 32 people &#40;11&#46;4&#37; of the population studied&#41; with mean age 15&#46;7 years&#44; predominance in the female sex and in the white skin group &#40;P<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;01&#41;&#46; Fifty-three point one percent of those patients with hypermobility presented skin lesions associated to hereditary diseases of the connective tissue&#59; among them the most relevant clinical sign was the presence of hematomas &#40;P<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;003&#41;&#46; Symptoms of dysautonomia were associated to JHS &#40;P<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>&#46;05&#41; and correlated positively with the presence of hematomas&#46; Moderate and severe chronic pain was also a feature of patients with the syndrome &#40;P<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41; and was correlated in a positive manner to the hematomas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Vascular affection as demonstrated by the formation of hematomas was the skin lesion more important among young people with JHS in this study&#46; These lesions can be representative of the syndrome and a translate a larger damage at the connective tissue level&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Para investigar la frecuencia de aparici&#243;n del s&#237;ndrome de hipermovilidad articular &#40;SHA&#41;&#44; identificar los cuadros asociados a este diagn&#243;stico y correlacionar los s&#237;ntomas m&#225;s significativos&#44; se realiz&#243; un estudio descriptivo-anal&#237;tico en un grupo de 280 j&#243;venes de ambos sexos con edades comprendidas entre los 15 y los 17 a&#241;os&#46; Para la obtenci&#243;n de los objetivos se elabor&#243; por parte de los autores un modelo de encuesta&#46; Los datos se procesaron por estad&#237;stica descriptiva utilizando el programa Epidat 3&#46;1&#46; Los resultados se muestran en tablas confeccionadas al efecto&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El SHA se diagnostic&#243; en 32 individuos &#40;11&#44;4&#37; de los encuestados&#41; con una media de edad de 15 a&#241;os&#44; predominio en el sexo femenino y en el grupo de poblaci&#243;n con color de piel blanca &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#46; El 53&#44;1&#37; de los hiperm&#243;viles present&#243; lesiones cut&#225;neas de las asociadas a las enfermedades hereditarias del tejido conjuntivo y&#44; entre ellas&#44; la presencia de los hematomas result&#243; significativa &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;003&#41;&#46; Los s&#237;ntomas de disautonom&#237;a se asociaron al SHA &#40;p<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; y se correlacionaron positivamente con los hematomas&#46; El dolor cr&#243;nico moderado y grave apareci&#243; en los individuos con el s&#237;ndrome &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41; y tambi&#233;n se correlacion&#243; en forma positiva con los hematomas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La afectaci&#243;n vascular demostrada por la formaci&#243;n de hematomas fue el tipo de lesi&#243;n cut&#225;nea m&#225;s frecuente entre los hiperm&#243;viles j&#243;venes&#59; esta lesi&#243;n podr&#237;a estar representando una forma m&#225;s sintom&#225;tica del s&#237;ndrome y una mayor profundidad de da&#241;o a nivel de tejido conjuntivo&#46;</p>"
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Vol. 5. Issue 6.
Pages 244-247 (November - December 2009)
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Vol. 5. Issue 6.
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The joint hypermobility syndrome in a Cuban juvenile population
Síndrome de hipermovilidad articular en una población juvenil cubana
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Francisco M. Menéndez Alejo
Corresponding author
, Damaris Díaz Lazaga, Verena Torrez Cárdenas, Vicente Martínez Rodríguez
Hospital General Docente Aleida Fernandez Chardiet, Departamento de Clínicas, Servicio de Reumatología, Güines, Habana, Cuba
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Abstract

In order to review the rise in joint hypermobility syndrome, identify the patterns associated with this diagnosis and correlate its most relevant symptoms, we did a descriptive transversal analytic study in a group of 280 young people of both genders between 15 and 17 years of age. A survey was carried out by the authors in order to get reach these objectives. The data were analyzed by means of descriptive statistics and processed with the Epidat3.1 software package. Results are shown in charts.

Results

The joint hypermobility syndrome (JHS) was diagnosed in 32 people (11.4% of the population studied) with mean age 15.7 years, predominance in the female sex and in the white skin group (P<.01). Fifty-three point one percent of those patients with hypermobility presented skin lesions associated to hereditary diseases of the connective tissue; among them the most relevant clinical sign was the presence of hematomas (P=.003). Symptoms of dysautonomia were associated to JHS (P.05) and correlated positively with the presence of hematomas. Moderate and severe chronic pain was also a feature of patients with the syndrome (P=.001) and was correlated in a positive manner to the hematomas.

Conclusions

Vascular affection as demonstrated by the formation of hematomas was the skin lesion more important among young people with JHS in this study. These lesions can be representative of the syndrome and a translate a larger damage at the connective tissue level.

Keywords:
Joint hypermobility syndrome
Young population
Dysautonomia
Chronicle pain
Hematomas
Resumen

Para investigar la frecuencia de aparición del síndrome de hipermovilidad articular (SHA), identificar los cuadros asociados a este diagnóstico y correlacionar los síntomas más significativos, se realizó un estudio descriptivo-analítico en un grupo de 280 jóvenes de ambos sexos con edades comprendidas entre los 15 y los 17 años. Para la obtención de los objetivos se elaboró por parte de los autores un modelo de encuesta. Los datos se procesaron por estadística descriptiva utilizando el programa Epidat 3.1. Los resultados se muestran en tablas confeccionadas al efecto.

Resultados

El SHA se diagnosticó en 32 individuos (11,4% de los encuestados) con una media de edad de 15 años, predominio en el sexo femenino y en el grupo de población con color de piel blanca (p<0,01). El 53,1% de los hipermóviles presentó lesiones cutáneas de las asociadas a las enfermedades hereditarias del tejido conjuntivo y, entre ellas, la presencia de los hematomas resultó significativa (p=0,003). Los síntomas de disautonomía se asociaron al SHA (p0,05) y se correlacionaron positivamente con los hematomas. El dolor crónico moderado y grave apareció en los individuos con el síndrome (p=0,001) y también se correlacionó en forma positiva con los hematomas.

Conclusiones

La afectación vascular demostrada por la formación de hematomas fue el tipo de lesión cutánea más frecuente entre los hipermóviles jóvenes; esta lesión podría estar representando una forma más sintomática del síndrome y una mayor profundidad de daño a nivel de tejido conjuntivo.

Palabras clave:
Síndrome de hipermovilidad articular
Población joven
Disautonomía
Dolor crónico
Hematomas
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