ManifestaÃÃes mÃsculo-esquelÃticas nos pacientes em programa de hemodiÃlise

AUTOR(ES)
DATA DE PUBLICAÇÃO

2002

RESUMO

A large diversity of ostearticular complaints has been described in patients in long-term hemodialysis. The aim of this research was to verify the proportion and the type of musculoskeletal manifestations in patients in maintenance hemodialysis, in three centers of metropolitan Recife, and to relate them to the variables: sex, ethnic group, patientâs current age and when the dialysis began, and dialitic treatment time. Firstly, questionnaires were applied to 197 patients, distributed on the three centers from March 2001 to January 2002. After excluding 35 patients with previous diagnostics of rheumatic disease, investigations were made, looking for musculoskeletal signs and/or symptoms in 162 patients. 47,3 years old was the average age, 43,8 years old was the average age in the beginning of the treatment, 94 patients (58%) were men and 120 patients (74,1%), not Caucasian. The average time of the dialitic treatment was 44,1 months, and the polysulphone membrane was used in all of them. Results: musculoskeletal manifestations were observed in 55 (34%) of the patients on this research. 38 of these presented just one type of manifestations and 17 patients, more than one type (16 presented two and 1 presented three types), making up a total of 73 manifestations, distributed among joints (44), bones (18), neuromuscular structures (6) and periarticular (5). Arthralgia was responsible for 46,6% of all musculoskeletal complaints and the knee was the most injured joint reached by it (52,9% of all cases). Bone pain was the second common complaint (21,9%), periarticular changes were responsible for 6,8% of musculoskeletal manifestations, and carpal tunnel syndrome, bone deformities and joint tumours occurred in 4,1%, 2,7% and 2,7% of all manifestations, respectively. Among 55 patients, joint changes were found in 72,7% of theses, bone changes in 32,7%, neuromuscular complaints in 10,8% and periarticular in 9,1% of the patients. In this research, the relation between the dialitic treatment time (59,8 months) and the development of the musculoskeletal manifestations (p<0.001) was observed. According to these information, we can conclude that the proportion of musculoskeletas complaints on our patients was 34%; the joint problems were the most frequently observed and arthralgia was the most common complaint. In our research, except the dialitic treatment time, all the other variables were not associated with the musculoskeletal manifestations emerge

ASSUNTO(S)

musculoskeletal manifestations arthralgia hemodiÃlise artralgia medicina hemodialysis manifestaÃÃes mÃsculo-esquelÃticas

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