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[Generalized tendomyopathy (fibromyalgia)].

B Müller1, W Müller

  • 1Rheumatologische Universitätsklinik, Basel.

Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|August 1, 1991
PubMed
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Fibromyalgia, a common rheumatological condition affecting 1% of people, causes widespread pain and tenderness. Diagnosis relies on pain patterns, tenderness, and associated functional, vegetative, and psychopathological symptoms.

Area of Science:

  • Rheumatology
  • Pain Medicine
  • Psychosomatic Medicine

Context:

  • Fibromyalgia (generalised tendomyopathy) is a prevalent rheumatological disease affecting approximately 1% of the population.
  • Characterized by widespread musculoskeletal pain, tenderness, and associated functional, vegetative, and psychopathological symptoms.
  • Standard laboratory investigations typically yield normal results, complicating diagnosis.

Purpose:

  • To define the clinical presentation and diagnostic criteria for fibromyalgia.
  • To explore the potential pathogenetic mechanisms, including reflex mechanisms and psychosocial factors.
  • To enhance understanding of this frequent rheumatological condition.

Summary:

  • Fibromyalgia presents with multilocular pain in the back, extremities, and face, alongside increased tenderness at specific tendon sites.

Related Experiment Videos

  • Diagnosis is established by combining widespread pain with characteristic tenderness and additional symptoms like functional disturbances, vegetative symptoms, and psychopathological changes.
  • Pathogenesis likely involves spinal and peripheral joint reflex mechanisms, with psychosocial factors potentially driving generalization and symptom manifestation via the reticular formation.

    • Impact:

    • Improved diagnostic accuracy for fibromyalgia.
    • Potential for targeted therapeutic strategies addressing both physical and psychosocial aspects.
    • Enhanced clinical recognition and management of this common pain disorder.