Due to the obvious conflicting clinical symptoms that may be present, the combination of joint hypermobility syndrome (JHS) and spondyloarthropathy (SpA) offers a difficult clinical dilemma. Classical symptoms such as limited spinal mobility or early morning back stiffness may be absent. Because these individuals tend to have lower scores on established objective measures, timely diagnosis and proper therapy are challenging. Researchers conducted a medical record review to identify individuals with JHS and SpA who had come to the Leicester Spondyloarthropathy clinic. If a patient satisfied the Assessment of SpondyloArthritis International Society categorization criteria, they were diagnosed with axial SpA. 1 A consultant musculoskeletal radiologist reviewed their images. Four instances were discovered in the patient database. All of the patients had lower back or sacroiliac joint discomfort but maintained spinal mobility with a negative Schober’s test. Two of the patients had been experiencing symptoms for more than ten years. All had a Beighton score of at least 6. Three of the individuals tested positive for HLA, and three had a positive family history. So far, nonsteroidal anti-inflammatory medications and physiotherapy have been effective in controlling all patients’ problems.
The coexistence of JHS and SpA is uncommon but must be acknowledged. These individuals are difficult to diagnose because of their retained spinal motions. It is unknown if the maintained flexibility conceals the real amount of illness or whether it represents a less severe disease pattern clinically.
