Patterns of Nonarticular Rheumatism in a Rural Area of Bangladesh

Authors

  • M Masudul Hasan BSMMU, Shahbag, Dhaka
  • Syed Atiqul Haq BSMMU, Shahbag, Dhaka
  • Minhaj Rahim Choudhury BSMMU, Shahbag, Dhaka
  • Md Nazrul Islam BSMMU, Shahbag, Dhaka
  • Aparna Das Dhaka Medical College Hospital
  • Gobinda Banik SSMC and Mitford Hospital
  • Mohammed Tawhidul Islam Mondal SSMC and Mitford Hospital, Dhaka
  • Md Rustom Ali NIDC&H, Dhaka

DOI:

https://doi.org/10.3329/jom.v13i2.12752

Keywords:

Nonarticular rheumatism, soft tissue rheumatism, fibromyalgia, repetitive strain injury

Abstract

Objectives: Estimate the prevalence of nonarticular (soft tissue) rheumatism in a rural population of Bangladesh.

Methods: The survey was carried out in eight villages of Sonargaon upazila of Narayanganj district about 30 kilometers from Dhaka. All subjects of both genders (5217) of ?15 years old of 8 villages were evaluated. Door to door survey was done to cover missing cases. Trained field workers identified subjects with musculoskeletal pain using Bengali version of the COPCORD (Community Oriented Program for the Control of Rheumatic Disease) questionnaire. Positive respondents were examined by trained internist and rheumatologists for definite non articular rheumatic disorders. COPCORD guideline was used for diagnosis.

Results: MSK pains (positive respondent) were 1260 (24.2%) in out of 5217 (male 2556, female 2661). Among of them definite soft tissue rheumatic diseases were identified in 439 (male 102 and female 337). Major occupations were house wives (54.7), weavers (18%), and peasants (5.1%). Definite point prevalence of nonarticular rheumatism was 8.41% (male 3.7%, female 11.09%). The most common diseases were fibromyalgia (3.95%), repetitive strain injury (2.3%), nocturnal muscle cramp (0.59%), myofascial neck pain (0.48%), planter fasciitis (0.46%).

Conclusion: Prevalence of nonarticular rheumatism is common in this rural community. Fibromyalgia is the leading disease.

DOI: http://dx.doi.org/10.3329/jom.v13i2.12752

J Medicine 2012; 13 : 165-169

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Author Biographies

M Masudul Hasan, BSMMU, Shahbag, Dhaka

Medical Officer, Medicine

Syed Atiqul Haq, BSMMU, Shahbag, Dhaka

Professor, Rheumatology

Minhaj Rahim Choudhury, BSMMU, Shahbag, Dhaka

Professor, Rheumatology

Md Nazrul Islam, BSMMU, Shahbag, Dhaka

Professor, Rheumatology

Aparna Das, Dhaka Medical College Hospital

Assistant Professor, Medicine

Gobinda Banik, SSMC and Mitford Hospital

Lecturer, Pharmacology

Mohammed Tawhidul Islam Mondal, SSMC and Mitford Hospital, Dhaka

Resident Surgeon,

Md Rustom Ali, NIDC&H, Dhaka

Registrar

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Published

2012-11-26

How to Cite

Hasan, M. M., Haq, S. A., Choudhury, M. R., Islam, M. N., Das, A., Banik, G., Mondal, M. T. I., & Ali, M. R. (2012). Patterns of Nonarticular Rheumatism in a Rural Area of Bangladesh. Journal of Medicine, 13(2), 165–169. https://doi.org/10.3329/jom.v13i2.12752

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Section

Original Articles