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Title

PREVALENCE OF GENERALIZED JOINT HYPERMOBILITY IN PATIENT WITH VESICOURETERAL REFLUX

Pages

 Start Page 60 | End Page 60

Abstract

 Background: The aim of this study was to determine the prevalence of generalized joint hypermobility (GJH) in patient with vesicoureteral reflux (VUR).Methods: This was a cross-sectional study on the 313 patients, 3 to 15 year-old children, with history of URINARY TRACT INFECTION (UTI) attending loghman hospital from April 2010 to April 2011. we evaluated the generalized joint hypermobility according to Beighton scores among the patients; then urinary tract sonography and cystography was done if it was indicated. Our patients were divided into two groups, group 1 without urinary tract abnormality and group 2 with primary vesicoureteral reflux compared them with the control group.Findings: In the control group, 37.2% and in the group 1 45.7% had hypermobility. Statistically there was no significant difference (P<0.2, odds ratio=1.42, CI 95% 0.811-2.487). In the control group, 37.2% and in group 2, 62.3% had hypermobility. Statistically there was a significant difference (P<0.001, odds ratio=2.79, CI 95% 1.613-4.823).26 cases of the children with mild urinary reflux, 44.1% of the patients with moderate urinary reflux and 60.5% of the patients with severe urinary reflex had hypermobility. Statistically there was a significant relation (P<0.003).Conclusion: In conclusion, the prevalence of GJH in the group with UTI record without VUR had no difference with the control group; while its prevalence in the group with UTI and VUR was more and the prevalence of hypermobility was increased while the reflux severity increased.

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