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Fibromyalgia

delete2015-08-13
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PRE
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W
Winfried Häuser *
J
Jacob N. Ablin
M
Mary‐Ann Fitzcharles
G
Geoffrey Littlejohn
J
Juan V. Luciano
C
Chie Usui
B
Brian Walitt
DOI:10.1038/nrdp.2015.22delete
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摘要

摘要

En 中文
Fibromyalgia is a common illness characterized by chronic widespread pain, sleep problems (including unrefreshing sleep), physical exhaustion and cognitive difficulties. The definition, pathogenesis and treatment are controversial, and some even contest the existence of this disorder. In 1990, the American College of Rheumatology (ACR) defined classification criteria that required multiple tender points (areas of tenderness occurring in muscles and muscle-tendon junctions) and chronic widespread pain. In 2010, the ACR preliminary diagnostic criteria excluded tender points, allowed less extensive pain and placed reliance on patient-reported somatic symptoms and cognitive difficulties. Fibromyalgia occurs in all populations worldwide, and symptom prevalence ranges between 2% and 4% in the general population. The prevalence of people who are actually diagnosed with fibromyalgia ('administrative prevalence') is much lower. A model of fibromyalgia pathogenesis has been suggested in which biological and psychosocial variables interact to influence the predisposition, triggering and aggravation of a chronic disease, but the details are unclear. Diagnosis requires the history of a typical cluster of symptoms and the exclusion of a somatic disease that sufficiently explains the symptoms by medical examination. Current evidence-based guidelines emphasize the value of multimodal treatments, which encompass both non-pharmacological and selected pharmacological treatments tailored to individual symptoms, including pain, fatigue, sleep problems and mood problems. For an illustrated summary of this Primer, visit: http://go.nature.com/LIBdDX
Keyword:
QUALITY-OF-LIFE
PRELIMINARY DIAGNOSTIC-CRITERIA
INTRINSIC BRAIN CONNECTIVITY
CHRONIC-FATIGUE-SYNDROME
CEREBROSPINAL-FLUID
DOUBLE-BLIND
RHEUMATIC-DISEASES
GENERAL-POPULATION
CONTROLLED-TRIAL
CENTRAL SENSITIZATION
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Nature Reviews Disease Primers
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648
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tel aviv sourasky medical center
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national institutes of health (nih) - usa
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Monash Health
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Juntendo University
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Technical University of Munich
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McGill University
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引用论文

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Biomimetics
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err2020-06-26
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The Prevalence of Fibromyalgia in the General Population A Comparison of the American College of Rheumatology 1990, 2010, and Modified 2010 Classification Criteria
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Fibromyalgia: Moderate and substantial pain intensity reduction predicts improvement in other outcomes and substantial quality of life gain
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