Chapter

How to diagnose fibromyalgia syndrome

Ernest Choy

in Fibromyalgia Syndrome

Published on behalf of Oxford University Press

Published in print March 2009 | ISBN: 9780199547517
Published online May 2011 | e-ISBN: 9780199607259 | DOI: http://dx.doi.org/10.1093/med/9780199547517.003.0001

Series: Oxford Rheumatology Library

How to diagnose fibromyalgia syndrome

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• Fibromyalgia syndrome (FMS) is characterized by chronic widespread pain and increased tenderness. • Fatigue, unrefreshed sleep, depression, anxiety, and problems with cognition are common associated symptoms. • Patients often complain of physical disability. • American College of Rheumatology (ACR) criteria for FMS stipulates the presence of chronic widespread pain defined as pain in all four quadrants of the body, as well as in the axial skeleton for at least 3 months on a more-or-less continuous basis and the presence of at least 11 of 18 anatomically specific tender points. • ‘Red flag’ symptoms are unexplained weight changes and fever. • ‘Red flag’ signs are joint swelling, muscle weakness, abnormal gait, skin rashes, delayed tendon reflexes, and lymphadenopathies.

Chapter.  2860 words.  Illustrated.

Subjects: Rheumatology

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