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Fibrositis (fibromyalgia). A common non-entity?

F D Hart1

  • 1Westminster Hospital, London.

Drugs
|March 1, 1988
PubMed
Summary

Fibromyalgia, a chronic pain condition, lacks definitive diagnostic tests but is characterized by widespread pain, fatigue, and sleep disturbances. Understanding it as a pain amplification syndrome offers the best fit for observed symptoms and patient responses.

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Area of Science:

  • Rheumatology
  • Pain Medicine
  • Psychosomatic Medicine

Background:

  • Fibromyalgia (formerly fibrositis) literature originated in the UK, with recent increases in research from Canada and the US.
  • Diagnostic criteria have evolved, defining a syndrome characterized by subjective symptoms rather than objective tests.
  • The condition predominantly affects middle-aged females and is recognized in clinical practice.

Purpose of the Study:

  • To review the historical literature and current understanding of fibromyalgia.
  • To discuss diagnostic challenges and the nature of the syndrome.
  • To explore potential etiological factors and therapeutic responses.

Main Methods:

  • Literature review of fibrositis/fibromyalgia studies.
  • Analysis of diagnostic criteria and clinical presentation.
  • Discussion of associated conditions and treatment outcomes.

Main Results:

  • Fibromyalgia diagnosis relies on clinical criteria, including widespread pain (>3 months), sleep disturbance, fatigue, and tender points.
  • No specific diagnostic tests (serological, radiological) or objective physical signs exist.
  • Psychological disturbances are common but not universal; the syndrome may coexist with other stress-related disorders.

Conclusions:

  • Defining fibromyalgia as a pain amplification syndrome aligns best with clinical observations.
  • Abnormal stress response is a significant factor in fibromyalgia development.
  • Therapeutic interventions, both physical and pharmacological, yield generally unsatisfactory results.

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