从多年的痛苦到一个名字:纤维肌痛被发现
Sara Ali1, Archana Banda1, Carlos Ramirez-Matos2
1Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Cureus
|January 12, 2026
概括
纤维肌痛是一种复杂的疾病,引起广泛的疼痛和疲劳,往往会带来诊断挑战. 这一案例凸显了患者倡导和专注倾听的重要性,以获得准确的诊断,即使是伴随性疾病.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛管理 疼痛管理
- 临床案例研究临床案例研究
背景情况:
- 纤维肌痛是一种慢性疾病,具有广泛的疼痛,疲劳和睡眠/情绪障碍的特征,主要影响女性.
- 它的多因素病因和排除诊断可能会延迟识别.
- 伴随性疾病可能会进一步复杂化诊断过程.
研究的目的:
- 描述一个具有挑战性的纤维肌痛诊断案例,在一个患有多种并发病症的患者中.
- 强调患者倡导和彻底的临床评估的重要性.
主要方法:
- 一个详细的病例报告,一个30多岁的女性患者患有慢性广泛疼痛.
- 通过重复的实验室测试和成像,排除扩散性慢性疼痛的常见原因.
- 考虑患者病史,包括机动车祸和重大并发症.
主要成果:
- 尽管进行了广泛的测试和成像,但排除了扩散性慢性疼痛的常见原因.
- 纤维肌痛是在全面评估后被诊断出来的.
- 患者复杂的病史,包括双相二极性障碍,严重抑郁症,PTSD和慢性病,提出了诊断挑战.
结论:
- 准确的纤维肌痛诊断需要耐心和专注的倾听,特别是在患有并发症的患者中.
- 临床医生必须作为患者的倡导者,考虑主观症状,即使客观测试是不起眼的.
- 多模式治疗方法对于有效管理纤维肌痛至关重要.
更多相关视频
08:20Author Spotlight: Unveiling the Therapeutic Effects of FSN Treatment – Bridging Research and Clinical Applications in Neuropathic Pain
Published on: June 30, 2023
2.6K
09:00Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
4.4K
相关概念视频
Chronic Pancreatitis I: Introduction
659
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
659
Analgesia and Pain Management
1.5K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.5K
Layers of Connective Tissue Proper
3.3K
Fascia, a thin layer of fibrous connective tissue, is distributed throughout the body. It demarcates and forms a supportive covering over skeletal muscles, bones, blood vessels, and organs. There are three main types of facia— superficial fascia, deep fascia, and subserous fascia. These are all present at different depths in the body. Fascia reduces the friction and permits muscles, joints, and organs to easily slide against each other, facilitating movement of the body and preventing...
3.3K
Myasthenia Gravis: Overview and Treatment
2.8K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
2.8K
Nociception
33.0K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
33.0K
Chronic Bowel Disorders: Introduction
739
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
739
