A narrative review on the difficulties associated with fibromyalgia diagnosis

被引：22
作者：
Kumbhare, Dinesh [1 ]
Ahmed, Sara [2 ]
Watter, Scott [3 ]
机构：
[1] Toronto Rehabil Inst, Dept Med, Div Phys Med & Rehabil, 550 Univ Ave, Toronto, ON M5G 2A2, Canada
[2] McMaster Univ, Fac Sci, Hamilton, ON, Canada
[3] McMaster Univ, Dept Psychol, Hamilton, ON, Canada
来源：
THERAPEUTIC ADVANCES IN MUSCULOSKELETAL DISEASE | 2018年 / 10卷 / 01期
关键词：
Fibromyalgia; diagnostic criteria; PRESSURE-PAIN THRESHOLD; OF-RHEUMATOLOGY; 1990; CENTRAL SENSITIZATION; MYOFASCIAL PAIN; FATIGUE; WOMEN; CRITERIA; POPULATION; CORTISOL; CLASSIFICATION;
D O I：
10.1177/1759720X17740076
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Fibromyalgia presents a clinical enigma as its pathophysiology is not well understood and its symptoms are nonspecific and overlap with many disorders, making its diagnosis a challenge for clinicians and researchers. Efforts have been made to develop a set of diagnostic criteria for this disorder. However, these criteria rely heavily on expert clinician opinion and produce a large heterogeneity within the diagnosed population. With no present specific technique reflecting the underlying pathophysiology of fibromyalgia, a definitive diagnosis of fibromyalgia remains elusive. This review discusses some problems and challenges associated with fibromyalgia diagnosis and presents some novel findings on the pathophysiological nature of fibromyalgia.
引用
收藏
页码：13 / 26
页数：14
相关论文
共 63 条
[1]  
Bazzichi L, 2007, CLIN EXP RHEUMATOL, V25, P225
[2]   Thyroid autoimmunity may represent a predisposition for the development of fibromyalgia? [J].
Bazzichi, L. ;
Rossi, A. ;
Zirafa, C. ;
Monzani, F. ;
Tognini, S. ;
Dardano, A. ;
Santini, F. ;
Tonacchera, M. ;
De Servi, M. ;
Giacomelli, C. ;
De Feo, F. ;
Doveri, M. ;
Massimetti, G. ;
Bombardieri, S. .
RHEUMATOLOGY INTERNATIONAL, 2012, 32 (02) :335-341
[3]   Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment [J].
Bellato, Enrico ;
Marini, Eleonora ;
Castoldi, Filippo ;
Barbasetti, Nicola ;
Mattei, Lorenzo ;
Bonasia, Davide Edoardo ;
Blonna, Davide .
PAIN RESEARCH AND TREATMENT, 2012, 2012
[4]   Validation of the 2010 American College of Rheumatology preliminary diagnostic criteria for fibromyalgia in an Iranian population [J].
Bidari, Ali ;
Hassanzadeh, Morteza ;
Parsa, Banafsheh Ghavidel ;
Kianmehr, Nahid ;
Kabir, Ali ;
Pirhadi, Sara ;
Sayfi, Mohammad ;
Toutounchi, Mehrangiz ;
Fattahi, Fariba ;
Karimi, Fereidoon Zandi .
RHEUMATOLOGY INTERNATIONAL, 2013, 33 (12) :2999-3007
[5]  
Biomedical F.A. S. T., 2001, CLIN PHARMACOL THER, V69, P89
[6]   Low plasma levels of monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-alpha (TNFα), and vascular endothelial growth factor (VEGF) in patients with alpha1-antitrypsin deficiency-related fibromyalgia [J].
Blanco, Ignacio ;
Janciauskiene, Sabina ;
Nita, Izabela ;
Fernandez-Bustillo, Enrique ;
Carcaba, Victoriano ;
Gallo, Cesar ;
Alvarez-Rico, Marlene ;
de Serres, Frederick ;
Beridze, Nana .
CLINICAL RHEUMATOLOGY, 2010, 29 (02) :189-197
[7]  
Blotman F, 2005, CLIN EXP RHEUMATOL, V23, P697
[8]   Myofascial pain [J].
Borg-Stein, J ;
Simons, DG .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (03) :S40-S47
[9]   Inflammatory/Stress Feedback Dysregulation in Women with Fibromyalgia [J].
Bote, Maria E. ;
Garcia, Juan J. ;
Hinchado, Maria D. ;
Ortega, Eduardo .
NEUROIMMUNOMODULATION, 2012, 19 (06) :343-351
[10]   Serum prolidase enzyme activity and oxidative status in patients with fibromyalgia [J].
Bozkurt, Mehtap ;
Caglayan, Mehmet ;
Oktayoglu, Pelin ;
Em, Serda ;
Batmaz, Ibrahim ;
Sariyildiz, Mustafa Akif ;
Nas, Kemal ;
Ucar, Demet ;
Yuksel, Hatice ;
Sarac, Aysegul Jale .
REDOX REPORT, 2014, 19 (04) :148-153
1234567