BENIGNI HIPERMOBILNI SINDROM – PRIKAZ BOLESNICE: NEPREPOZNATO ILI NEDIJAGNOSTICIRANO STANJE?

Margareta Pitlović Bačić, Porin Perić, Božidar Ćurković, Đurđica Babić-Naglić, Pero Kolić

Hypermobility denotes an increased range of joint movements and is the result of ligamentous and joint capsule laxity. Benign joint hypermobility syndrome is hypermobility associated with symptoms – arthralgia, myalgia, fatigue, anxiety and fibromyalgia. Clinical manifestations of benign joint hypermobility syndrome include almost all organic systems, and reflect the ubiquity of connective tissue in the body. Beighton score help us to diagnoses hypermobility. Hypermobility syndrome is diagnosed using the 1998 “Brighton criteria”. The purpose of this case report was to emphasize the importance of recognition hypermobility syndrome because such individuals represent a significant percentage patients who seek help of different specialist and because of the diversity of the clinical presentation very long stay unrecognized (undiagnosed). Hypermobility can be easily detected if you are looking for, but is easily overlooked if you do not think about it.

Hipermobilnost je stanje povećane pokretljivosti zglobova, a rezultat je laksiteta ligamenata i zglobne čahure. Hipermobilni sindrom je hipermobilnost udružena sa simptomima - artralgijama, mialgijama, sindromom kroničnog umora, anksioznošću i fibromijalgijom. Naziva se i sindrom benigne hipermobilnosti zglobova. Kliničke pojavnosti hipermobilnog sindroma obuhvaćaju gotovo sve organske sustave, a odražavaju sveprisutnost vezivnog tkiva u organizmu. Za dijagnosticiranje hipermobilnosti služi nam Beightonov score, a za hipermobilni sindrom Brightonski dijagnostički kriteriji. Svrha prikaza ove bolesnice bila je naglasiti važnost prepoznavanja hipermobilnog sindroma jer takve osobe predstavljaju značajan postotak bolesnika koji traže pomoć liječnika različitih specijalnosti i upravo zbog raznolikosti kliničke slike vrlo dugo ostaju neprepoznati (nedijagnosticirani). Hipermobilnost se lako prepozna ako je tražite, ali se i lako previdi ako na nju ne mislite.