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Benign Joint Hypermobility Syndrome
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Diagnosis
The diagnosis is made with the Brighton criteria (not to be confused with the Beighton score)
- Major Criteria
- Beighton score of โฅ 4
- Arthalgia for longer than 3 months in 4 or more joints
- Minor Criteria
- Beighton score of 1, 2, or 3
- Arthalgia (> 3 month duration) in one to three joints or back pain (> 3 month duration) or spondylosis, spondylolysis/spondylolisthesis
- Dislocation or subluxation in more than one joint, or in one joint on more than one occasion
- Three or more soft tissue lesions (eg, epicondylitis, tenosynovitis, bursitis)
- Marfanoid habitus: tall, slim, arm span greater than height >1.03 ratio, upper segment less than lower segment <0.89 ratio, arachnodactyly
- Skin striae, hyperextensibility, thin skin, or abnormal scarring
- Ocular signs: drooping eyelids, myopia, antimongoloid slant
- Varicose veins, hernia, or uterine or rectal prolapse
- Mitral valve prolapse
- Requirements for diagnosis are any one of the following:
- Two major criteria
- One major plus two minor criteria
- Four minor criteria
- Two minor criteria and unequivocally affected first-degree relative in family history