Apr 25

Hypermobility Syndrome / Ehlers Danlos Syndrome

Within the field of gastroenterology I often see this condition typically associated with slow transit constipation, which in turn leads to gas trapping, uncomfortable bloating distension and lower abdominal cramps.

To make a simple assessment one can use the Beighton Score by clicking on the link provided by the Hypermobility Syndromes Association

In general a score of 0-3 is deemed normal

A score of 4-9 is suggestive of Hypermobility Syndrome (ligamentous laxity).

Further information can also be reviewed on the Ehlers Danlos Support UK site

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Apr 17

Please click on this link to find attached a patient advice sheet for Selective IgA Deficiency provided by Primary Immunodeficiency UK (PID UK) – www.piduk.org

They also offer free membership for and support. Joining is free and easy to do. You can do this via their website at www.piduk.org/register/

Members also get a monthly e‐bulletin and two newsletters per year.

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Apr 17

Recurrent isolated RUQ abdominal pain (e.g. often under the right ribs) is common and abdominal cutaneous nerve entrapment syndrome is said to account for 2% of all presentations to A+E with acute abdominal pain.

Click on this link to review a recent systematic review of the literature assessing outcomes from;-

a) Trigger point injection (TPI) alone – 86% short term successful response, 76% long-term response

b) Anterior neurectomy alone – 73% short term successful response, 61-69% long-term response

c) TPI followed by anterior neurectomy as stepwise regimen

d) Nerve stimulation and phenolization.

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