Objective: Generalized joint hypermobility (GJH) and fibromyalgia syndrome (FMS) are two clinical conditions that may cause common musculoskeletal pain during childhood. Our study aimed to evaluate the frequency of juvenile FMS and GJH in children aged 11-18 years in the province Trabzon as well as to evaluate the correlation between these two conditions. Material and Methods: This cross-sectional study was conducted in 437 students aged 11-18 years who received education in Trabzon. Questionnaire forms were filled, and each student was examined. The children reported to have any disease were excluded from the study. GJH was diagnosed according to criteria of Beighton diagnosis. The presence of FMS was determined according to the 1990 American College of Rheumatology classification criteria. A total of 437 students [209 girls (52.2%) and 228 (47.8%) boys] participated in the study. The mean age was 14.3±1.7 years for girls and 14.7±1.79 years for boys. Results: The frequency of GJH was found to be 9.1% and that of FMS was found to be 5.9% for children included in the study. Although significant difference was observed among the female and male participants in terms of the frequency of GJH (p=0.023), no such difference was detected in of the frequency of FMS (p=0.065). A statistically significant and highly negative correlation was found between age and Beighton score (r=-0.187, p<0.001). A statistically significant and highly negative correlation was found between body mass index and Beighton score (r=-0.097, p<0.05). There was a correlation between success level at school and tender points. Both FMS and GJH were detected in one patient. No correlation was detected between Beighton score and tender points. Conclusion: Similar to children in other countries, GJH and FMS are also non-rare clinical conditions in Turkey.

ÖzetTüberküloz (TB) iskelet sisteminde vertebraları ve yük binen eklemleri etkiliyebilir. Periferik eklem tutulumunda romatoid artrit (RA)'i taklit eden klinik, laboratuar ve radyolojik bulgular oluşturabilir. TB, günümüzde RA'nın erken tanısında kullanılmak-ta olan romatoid faktör(RF) ve anti-cyclic citrullinated peptide (CCP) pozitifliği oluşturabilir. Bu durum klinik tanıda zorluklara yol açar. İlave olarak TB artritdeki tanısal zorluklar bu durumu daha da karmaşık hale getirir. Biz burada Anti-CCP ve RF pozitif olan TB artritli bir vaka sunarak bu duruma dikkat çekmeyi amaç-ladık. (Turk J Rheumatol 2010; 25: 95-8 Abs tractTuberculosis (TB) can affect vertebras and joints bearing weight. It can resemble clinic signs, radiological and laboratory findings of rheumatoid arthritis (RA) involving peripheral joints. TB can make rheumatoid factor (RF) and anti-cyclic citrullinated peptide (CCP) positive, which are used in the diagnosis of RA arthritis. Therefore, this causes some difficulties in clinic diagnosis. Additionally, the diagnostic problems in TB arthritis can be more complicated. We aimed to attract attention to this situation by presenting a case of TB arthritis in which anti-CCP and RF are positive. (Turk J Rheumatol 2010; 25: 95-8)

Background Generalized Joint hypermobility (GJH) and fibromyalgia syndrome (FMS) are two clinical conditions that may cause common musculoskeletal pain during childhood. Objectives Our study aimed to evaluate the frequency of juvenile FMS and GJH in children aged 11-18 years in the province, Trabzon as well as the correlation between these two conditions. Methods This cross-sectional study was performed with 437 students aged 11-18 years who receive education in the province, Trabzon. Questionnaire forms were filled in, and each student was examined. The children, who reported to have any disease, were excluded from the study. GJH was diagnosed according to criteria of Beighton diagnosis. The presence of FMS was determined according to the 1990 American College of Rheumatology (ACR) classification criteria Results A total of 437 students, 209 of whom are girls (52.2%) and 228 (47.8%) of whom are boys, participated in the study. The mean age was 14.3±1.7 years for girls and 14.7±1.79 years for boys. The frequency of GJH was found to be 9.1% and the frequency of FMS was found to be 5.9% for students who were included in the study. While significant difference was observed among the female and male participants in terms of the frequency of GJH (p=0.023), no such difference was detected among the genders in FMS (p=0.065). A statistically significant and highly negative correlation was found between age and Beighton score (r=-0.187, p<0.001). A statistically significant and highly negative correlation was found between Body Mass Index (BMI) and Beighton score (r=-0.097, p<0.05). There was a correlation between success level at school and tender point. Both FMS and GJH were detected in one patient. No correlation was detected between Beighton score and tender point. Conclusions As with children in other countries, GJH and FMS are non-rare clinical conditions in Turkey as well. They seem to be cases independent of each other. The clinicians must also consider GJH and FMS in differential diagnosis especially in children who present with complaints of musculoskeletal system pain. References none Disclosure of Interest None Declared

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BackgroundGeneralised Joint hypermobility (GJH) is a clinical conditions that may cause common musculoskeletal pain during childhood. In our study, we aim to show the prevalence of GJH in children of 11–18 age group, and to provide guiding information for rheumatologists and paediatricians who are interested in this subject.ObjectivesOur study aimed to evaluate the frequency of GJH in children aged 11–18 years in the province, Ordu.MethodsThis cross-sectional study was performed with 410 students aged 11–18 years who receive education in the province, Ordu. Questionnaire forms were filled in, and each student was examined. The children, who reported to have any disease, were excluded from the study. GJH was diagnosed according to criteria of Beighton diagnosis.ResultsA total of 410 students, 210 of whom were girls (51.3%) and 200 (48.7%) of whom were boys, participated in the study. The subjects’ mean age was 13.7±1.7 years for girls and 13.1±1.79 years for boys. The body mass index (BMI) of the girls was 21.5±3.4 kg/m2 and of the boys were 22±3.8 kg/m2. 160 (39%) of the students participated from the city centre and 250 (61%) from the district centres. The presentations of the students to the health institution due to any complaint in 1 year were examined. The students participating in the study were questioned in terms of presence and time of previous joint complaints. Accordingly, the number of participants who previously had a joint-related complaint was found to be 155 (37.8%). 40 (10.7%) of these participants had a joint-related complaint 3 months ago, 18 (4.3%) had it 6 months ago, 40 (9.7%) had it 1 year ago, and 47 (11.4%) had it more than one year ago. The frequency of GJH was 8.7%. 24 of 36 participants in whom GJH was detected and had a Beighton score of 5 and above consisted of girls; and this was 11.4% of the girls. The number of male participants in whom GJH was detected, was found to be 12; and this was 6% of the boys. There was a significant difference between female and male participants in terms of the frequency of GJH (p=0.021).A statistically significant and highly negative correlation was found between age and Beighton score (r=−0.182, p<0.001). A statistically significant and highly negative correlation was found between body mass index and Beighton score (r=−0.092, p<0.05).ConclusionsOne of the most common complaints seen during the childhood is musculoskeletal system pain. As shown by various studies performed, one of the significant reasons of extremity pain is GJH.1 In our study, no significant correlation was found between GJH and joint pain. GJH is a disease that may cause musculoskeletal system pain during childhood. In our study which investigates the frequency of GJH in our region, we detected the GJH prevalence as 8.7. GJH is a clinical syndrome that is characterised with the fact that the joints have a range of motion above normal levels without a correlation with any systemic rheumatismal disease. The specific definition of GJH was shown by Kirk et al. in 1967.2 References[1] Lar...