CONNECTIVE TISSUE DYSPLASIA SYNDROME IN THE DISPENSARY OBSERVATION SYSTEM OF THE FAMILY DOCTOR

Authors

  • М. Д. Процайло Тернопільський національний медичний університет імені І. Я. Горбачевського МОЗ України
  • І. Б. Чорномидз Тернопільський національний медичний університет імені І. Я. Горбачевського МОЗ України
  • І. М. Горішний Тернопільський національний медичний університет імені І. Я. Горбачевського МОЗ України
  • Т. О. Воронцова Тернопільський національний медичний університет імені І. Я. Горбачевського МОЗ України

DOI:

https://doi.org/10.11603/24116-4944.2022.1.13258

Keywords:

connective tissue dysplasia, family doctor, joint hypermobility, diagnosis, rehabilitation

Abstract

The aim of the study – to analyze the results of scientific publications reflecting the relationship between systemic connective tissue damage and its various symptom complexes. To help family doctors outline the main areas of examination, treatment, prevention of children with connective tissue dysplasia syndrome.

Materials and Methods. An in-depth analysis of the results of examinations, treatment, rehabilitation and prevention by scientists of therapeutic and surgical profiles has been carried out, which describe the systemic nature of the lesion in this pathology and its main clinical criteria that must be taken into account in the treatment, prevention, rehabilitation and social adaptation of such children.

Results and Discussion. Connective tissue dysplasia syndrome is a relatively "young" nosologist's name for the disease, which is gradually taking its place among other diseases. Classical methods of recognizing this disease do not always work, since in this case it is necessary to evaluate the state of several body systems at the same time – bone, nervous, endocrine, alimentary, hematopoietic, and others. The goal of the doctor in this case is to be able to combine the results of the post-syndromal examination with the aim of further treatment of such a patient. Such an examination scheme is new and causes certain difficulties among practicing doctors, as it requires the joint efforts of traumatologists, endocrinologists, pediatricians, geneticists, ophthalmologists, hematologists, psychologists, dentists and other specialists.

Conclusions. In the presence of this syndrome (or one of its types), the minimal, mandatory, basic methods of examination are assessment of joint hypermobility, ECG or ultrasound of the heart, ultrasound of the abdominal organs, vision control. Depending on the type of disease, targeted consultation of an orthopedist, pediatrician (cardiologist, gastroenterologist, endocrinologist), ENT specialist is necessary. It is necessary to remember that this syndrome is hereditary and may have a hidden course with an unexpressed clinic.

References

Volovar, O.S. (2013). Fenotypichni oznaky dysplazii spoluchnoi tkanyny u patsiientiv z zakhvoriuvanniamy skronevo-nyzhnoshchelepnoho suhloba [Phenotypic signs of connective tissue dysplasia in patients with diseases of the temporomandibular joint present]. Ukr. med. chasopys – Ukrainian Medical Bulletin, 2, 94. Retrieved from: https://www.umg.com.ua > articl>f… [in Ukrainian].

(2012). Dysplaziia spoluchnoi tkanyny – suchasnyi pohliad na problemu [Dysplasiia of connective tissue – a modern view of the problem]. Zhurnal Bil. Suhloby. Khrebet – Journal Pain. Joints. Spine, 1, 05. Retrieved from: https://www.mif-ua. com> articl [in Ukrainian].

Protsailo, M.D., & Goshchynskyi, P.V., & Beetle, S.A. (2015). Nedoskonalyi osteohenez [Osteogenesis imperfecta]. Visnyk naukovykh doslidzhen – Herald of Scientific Research, 3, 8-10 [in Ukrainian].

Protsailo, M.D., & Krytskyi, I.O., & Goshchynskyi, P.V. (2021). Vypadok dvobichnoi brakhiopleksopatii [A case of bilateral brachioplexopathy]. Zdobutky klinichnoi i eksperymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 2, 203-205 [in Ukrainian].

Protsailo, M.D. (2003). Syndrom polisystemnoi dysplazii spoluchnoi tkanyny pry osteokhondropatii [Syndrome of polysystem dysplasia of connective tissue in osteochondropathy]. Visnyk naukovykh doslidzhen – Herald of Scientific Research, 3, 17-20 [in Ukrainian].

Roy, I.V., Zinchenko, V.V., Rusanova, T.E., & Bayandina, O.I. (2010). Osoblyvosti formuvannia kulshovykh suhlobiv z oznakamy dysplazii spoluchnoi tkanyny [Features of the formation of hip joints with signs of connective tissue dysplasia]. Zbirnyk naukovykh prats KHU ziizdu ortopediv-travmatolohiv Ukrainy –Collection of Scientific Papers of the Congress of Orthopedic Traumatologists of Ukraine. Dnipropetrovsk [in Ukrainian].

Churilina, A.V. (2003). Syndrom dysplazii spoluchnoi tkanyny sertsia u ditei [Syndrome of connective tissue dysplasia of the heart in children]. Pediatriia, akusherstvo ta hinekolohiia – Pediatrics, Obstetrics and Gynecology, 1, 20-22 [in Ukrainian].

Lysovsky, E.V., Yevtushenko, S.K., Yavorskaya, O.L., & Yevtushenko, O.S. (2005). K voprosu o klassifikatsii nevrologicheskikh proyavleniy vrozhdennoy slabosti soyedinitelnoy tkani u detey [To the question of the classification of neurological manifestations of congenital weakness of the connective tissue in children]. Mezhdunarodnyy nevrologicheskiy zhurnal – International Neurological Journal, 3, 33-35 [in Ukrainian].

Omelchenko, L.I., & Nikolaenko, V.B. (2004) Displaziya soyedinitelnoy tkani u detey [Connective tissue dysplasia in children]. Doctor – zhurnal dlya praktikuyushchikh vrachey –Doctor – Journal for Practicing Doctors, 1, 44-47 [in Ukrainian].

Churilina, A.V., & Artemenko, S.P., & Masyuta, D.I., & Chaga, L.F. (2002). Pidkhid do dyspansernoho sposterezhennia ditei z prolapsom mitralnoho klapana [Approach to dispensary observation of children with mitral valve prolapse]. Mat. nauk. – prakt. – konf. Profilaktyka ta reabilitatsiia naibilsh poshyrenykh zakhvoriuvan u ditei ta udoskonalennia yikh dyspanseryzatsii – Materials of Scien.-pract. Conf. Prevention and Rehabilitation of the Most Common Diseases in Children and Improvement of their Dispensation. Kyiv [in Ukrainian].

Veselova, T.V. (2017). Nedyferentsiiovana dysplaziia spoluchnoi tkanyny – problemy ta shliakhy yii vyrishennia [Undifferentiated connective tissue dysplasia – problems and ways to solve it ]. Dytiachyi likar – Children's Doctor, 3, 54. Retrieved from: https://d.l. com. ua>pages 26-32[in Ukrainian].

Veselova, T.V. (2015). Metabolichni ta vehetatyvni rozlady u ditei pubertatnoho viku z nedyferentsiiovanoiu dysplaziieiu spoluchnoi tkanyny. Yikh diahnostyka ta korektsiia [Metabolic and autonomic disorders in pubertal children with undifferentiated connective tissue dysplasia. Their diagnosis and correction]. Candidate’s thesis. Ministry of Health of Ukraine, National Medical University named after O.O. Bohomolets. Kyiv [in Ukrainian].

Kazimyrko, V.K., & Ivanytska, L.M., & Dubkova, A.G. (2013). Trudnoshchi diahnostyky nedyferentsiiovanoi dysplazii spoluchnoi tkanyny u praktytsi likaria-revmatoloha [Difficulties in diagnosing undifferentiated connective tissue dysplasia in the practice of a rheumatologist]. Ukrainskyi revmatolohichnyi zhurnal – Ukrainian Journal of Rheumatology, 53, 3. Retrieved from https://www.rheumatolology.kiew.ua/articl/6344/ trudno. [in Ukrainian].

Nobelivsku premiiu z khimii za 2020 rik otrymaly [The 2020 Nobel Prize in Chemistry was awarded to]. Retrieved from https://www.unesco.org [in Ukrainian].

Published

2022-10-19

How to Cite

Процайло, М. Д., Чорномидз, І. Б., Горішний, І. М., & Воронцова, Т. О. (2022). CONNECTIVE TISSUE DYSPLASIA SYNDROME IN THE DISPENSARY OBSERVATION SYSTEM OF THE FAMILY DOCTOR. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1), 95–98. https://doi.org/10.11603/24116-4944.2022.1.13258

Issue

Section

PEDIATRICS