Turkish Journal of Physical Medicine and Rehabilitation 2002 , Vol 48 , Num 3

Olgu Sunumu: İdiyopatik Hipermobilite Sendromlu Hastada Erken Başlangıçlı Hemokromatik Artropati

Demet Ofluoğlu 1 ,Osman Hakan Gündüz 2 ,Nadire Özaras 3 ,Önder Kayhan 4
1 Başkent Üniverstesi Tıp Fakültesi İstanbul Hastanesi, İstanbul, Türkiye
2 Marmara Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
3 Marmara Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul
4 Marmara Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul

Hemochromatosis is a genetic disease characterized by increased gastrointestinal absorption and a resultant increased iron deposition in tissues. The disease is related to HLA A3, B7, and B 14. Arthropathy is a frequent clinical finding in hemochromatosis, and is usually seen after many years from the disease onset. Characteristic radiological findings are seen in wrists and metacarpophalangeal joints, although hips, knees and ankles can also be affected. Herein we present a 34- year-old male patient with hemochromatosis who admitted with pain in shoulders, knees and ankles. Radiological findings in ankles were consistent with osteoarthritis, and chondrocalcinosis was present in both kness. The patient also had all the major criteria of hypermobility syndrome in the physical examination. We thought that early appearance of arthropathy in this hemochromatosis case might be due to the presence of hypermobility syndrome.

Keywords : Hemochromatitic arthropathy, hypermobility syndrome, osteoarthritis, chondrocalcinosis