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[Current trends in fibromyalgia].

Marcel-Francis Kahn1

  • 1Service de rhumatologie, hôpital Bichat, 75018 Paris. marcel-francis.kahn@bch.ap-hop-paris.fr

La Revue Du Praticien
|January 16, 2004
PubMed
Summary

Fibromyalgia is a widely accepted chronic pain condition, primarily affecting middle-aged women. Its exact cause is debated, but it involves nervous system signal processing and requires a multidisciplinary treatment approach.

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["Fibromyalgia is first a medical syndrome, then a social construction"].

Revue medicale suisse·2007

Area of Science:

  • Rheumatology
  • Neurology
  • Pain Medicine

Context:

  • Fibromyalgia is increasingly recognized despite ongoing debate about its underlying causes.
  • It predominantly affects middle-aged women as a chronic, widespread pain condition.
  • Associated symptoms include fatigue, sleep disturbances, and mood disorders.

Purpose:

  • To discuss the current understanding of fibromyalgia's physiopathology.
  • To explore diagnostic challenges and the role of differential diagnosis.
  • To outline current and recommended medical interventions for fibromyalgia.

Summary:

  • Fibromyalgia is characterized by widespread pain, tender points, and associated symptoms like fatigue and mood disorders.
  • Diagnostic workup for specific underlying conditions is typically negative in primary fibromyalgia.
  • The condition is thought to involve altered pain signal processing in the nervous system.
  • Treatment necessitates a multidisciplinary approach, including pharmacotherapy, physical, cognitive, and behavioral therapies.

Impact:

  • Highlights the need for a comprehensive understanding of fibromyalgia's complex nature.
  • Emphasizes the importance of empathy and a multidisciplinary approach in patient care.
  • Acknowledges the significant social implications and evolving nature of the fibromyalgia concept.

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