https://doi.org/10.4081/reumatismo.2017.993

Coexistence of spondyloarthritis and joint hypermobility syndrome: rare or unknown association?

Vol. 69 No. 3 (2017)
Submitted: 22 April 2017
Accepted: 4 July 2017
Published: 21 September 2017
Non-radiographic axial spondyloarthritis, Spondyloarthritis, HLA-B27, Hypermobility, Joint hypermobility syndrome.
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Authors

J.B. Pinto Carneiro
jubrandao_@hotmail.com
http://orcid.org/0000-0001-7184-0582
Rheumatology Section, University Hospital Getúlio Vargas/Federal University of Amazonas, Brazil.
T. Pinto de Souza
Rheumatology Section, University Hospital Getúlio Vargas/Federal University of Amazonas, Brazil.
T.M.L. Antunes de Oliveira
Regional Hospital of Taguatinga, Federal District, Brazil.
S.L. Euzébio Ribeiro
Rheumatology Department, Federal University of Amazonas, Brazil.
We report two cases of siblings presenting coexisting non-radiographic axial spondyloartrhritis and joint hypermobility syndrome, complaining of back pain with morning stiffness, enthesitis, peripheral arthralgia, high erythrocyte sedimentation rate and C-reactive protein level and positive HLA-B27. The association of these two conditions is rare, but especially interesting in view of their contrasting features, one causing axial skeleton stiffness, the other a wider range of peripheral joint movements. Coexistence of these two opposite disorders causes confusion in diagnosis and management, resulting in lower quality of life for patients, as they are in pain from the early stages. Therefore, this association is suspected in young individuals with back pain and physical exam findings of peripheral joint hypermobility and axial skeleton loss of mobility.

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J.B. Pinto Carneiro, Rheumatology Section, University Hospital Getúlio Vargas/Federal University of Amazonas
Department of Rheumatology
T. Pinto de Souza, Rheumatology Section, University Hospital Getúlio Vargas/Federal University of Amazonas
Department of Rheumatology
T.M.L. Antunes de Oliveira, Regional Hospital of Taguatinga, Federal District
Department of Rheumatology
S.L. Euzébio Ribeiro, Rheumatology Department, Federal University of Amazonas
Department of Rheumatology

How to Cite

Pinto Carneiro, J., Pinto de Souza, T., Antunes de Oliveira, T., & Euzébio Ribeiro, S. (2017). Coexistence of spondyloarthritis and joint hypermobility syndrome: rare or unknown association?. Reumatismo, 69(3), 126–130. https://doi.org/10.4081/reumatismo.2017.993

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