Estudo de hipermobilidade articular em pacientes fibromiálgicos: seria a síndrome de Ehlers-Danlos do tipo III um diagnóstico diferencial da síndrome fibromiálgica?

Abstract

Objective: describe the epidemiological profile of individuals with fibromyalgia and analyze the variables associated with joint hypermobility (JH). Method: cross-sectional, descriptive study with a quantitative, descriptive and analytical approach, carried out with individuals with fibromyalgia, through an online form. Results: with a sample of 1,403 participants, the female gender was the most prevalent (97.8%) and the average age was 47.7 years. Most participants were characterized as hypermobile (53.3%). The diagnosis of Gastroesophageal Reflux Disease (p = 0.029), Myopia (0.048), Arthrosis/arthritis (p = 0.021) and Herniated Disc (p = 0.033) showed a statistically significant association with the presence of JH. No psychiatric disorders were associated with AH. Regarding symptoms, only nausea was correlated with JH (p = 0.033). Most participants reported not being satisfied with the treatment (53.0%), using 4 or more medications (66.6%) and having 6 or more consultations per year (55.2%). Conclusions: the profile and clinic of the participants were similar to other studies in the literature, despite some differences. Some variables were associated with JH, showing that individuals with fibromyalgia with and without hypermobility have distinct characteristics, knowing the differences provides a more adequate management for each patient.