Chronic musculoskeletal pain at Kenyatta National Hospital
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Date
2015-06Author
Malombe, NM
Oyoo, GO
Maritim, MC
Kwasa, J
Language
enMetadata
Show full item recordAbstract
Background:
Fibromyalgia is a rheumatic
condition characterized by chronic
widespread musculoskeletal pain with
painful pressure points. Other associated
symptoms include fatigue, sleep
disturbance and depression. The cause
of this condition is unknown however
chronic viral infections eg Human
Immunodeficiency Virus (HIV) have been
associated with fibromyalgia. This study
aimed to determine the prevalence of
fibromyalgia in HIV positive patients.
Methods:
This was a cross-sectional
descriptive study carried out at
the Kenyatta National Hospital,
Comprehensive Care Clinic (CCC)
.
The
patients attending the clinic between the
months of February 2013 and April 2013
were assessed for chronic musculoskeletal
pain and subsequently fibromyalgia using
the American College of Rheumatology
criteria
.
Those found to have fibromyalgia
were given the the revised Fibromyalgia
Impact Questionnaire (FIQR) and those
without were given the the revised
Symptom Impact Questionnaire (SIQR)
for comparison purposes. Clinical details
eg WHO clinical stage, CD4 counts and
Highly Active Anti Retroviral Therapy
(HAART) regimen for those on HAART
were also documented.
Results:
A total of 380 patients with
chronic musculoskeletal pain were
enrolled in the study. The prevalence of
fibromyalgia in these patients was 17.9%
(n=68). Their mean age was 42.2 years
with a median of 42.5 years. There was
a female preponderance of 88.2% (n=60).
Fibromyalgia was associated with female
gender, OR=3.0, unemployment status,
OR=5.4 and retired status, OR=3.4. A
majority of the patients were in WHO
clinical stage 3 and the mean CD4 count
was 276.2cells/ml. There was however
no association between fibromyalgia
and WHO clinical stage, CD4 count and
use of HAART or the specific HAART
regimens. The mean FIQR was 50.1
which was significantly higher than the
mean SIQR score of 12.4 in those without
fibromyalgia.
Conclusion:
Fibromyalgia is a prevalent
rheumatologic condition among
HIV positive patients with chronic
musculoskeletal pain. It is also associated
with a high FIQR score
URI
http://www.aflar.net/images/stories/documents/AJR_3_2015_june.pdfhttp://hdl.handle.net/11295/92141
Citation
Malombe, NM., Oyoo, GO., Maritim, MC and Kwasa, J (2015). chronic musculoskeletal pain at Kenyatta National Hospital. Afr J Rheumatol 2015; 3(2): 23Publisher
University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10387]