Diferencia entre revisiones de «Fibromyalgia»
Sin resumen de edición |
(Text replacement - "* " to "*") |
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==Background== | ==Background== | ||
* A disorder of pain regulation, sometimes classified as a kind of central sensitization | *A disorder of pain regulation, sometimes classified as a kind of central sensitization | ||
* Chronic musculoskeletal pain not explained by another systemic disorder | *Chronic musculoskeletal pain not explained by another systemic disorder | ||
* More common in women than men | *More common in women than men | ||
==Clinical Features== | ==Clinical Features== | ||
* Chronic musculoskeletal pain | *Chronic musculoskeletal pain | ||
* Insomnia | *Insomnia | ||
* Fatigue | *Fatigue | ||
* Decreased concentration | *Decreased concentration | ||
* Headache | *Headache | ||
* Parasthesias | *Parasthesias | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Rheumatoid arthritis]] | *[[Rheumatoid arthritis]] | ||
* Sjogren's syndrome | *Sjogren's syndrome | ||
* Systemic lupus erythematosus | *Systemic lupus erythematosus | ||
* Ankylosing spondylitis | *Ankylosing spondylitis | ||
* Myopathyies: metabolic or statin-induced | *Myopathyies: metabolic or statin-induced | ||
* Myasthenia gravis | *Myasthenia gravis | ||
* Myofascial pain syndrome | *Myofascial pain syndrome | ||
* Multiple sclerosis | *Multiple sclerosis | ||
* Psychiatric disorders | *Psychiatric disorders | ||
==Evaluation== | ==Evaluation== | ||
| Línea 27: | Línea 27: | ||
==Management== | ==Management== | ||
* [[Tricyclic antidepressants]] | *[[Tricyclic antidepressants]] | ||
* Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | *Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | ||
* [[Anticonvulsants]] ([[pregabalin]], [[gabapentin]]) | *[[Anticonvulsants]] ([[pregabalin]], [[gabapentin]]) | ||
==Disposition== | ==Disposition== | ||
Revisión del 01:13 24 jul 2017
Background
- A disorder of pain regulation, sometimes classified as a kind of central sensitization
- Chronic musculoskeletal pain not explained by another systemic disorder
- More common in women than men
Clinical Features
- Chronic musculoskeletal pain
- Insomnia
- Fatigue
- Decreased concentration
- Headache
- Parasthesias
Differential Diagnosis
- Rheumatoid arthritis
- Sjogren's syndrome
- Systemic lupus erythematosus
- Ankylosing spondylitis
- Myopathyies: metabolic or statin-induced
- Myasthenia gravis
- Myofascial pain syndrome
- Multiple sclerosis
- Psychiatric disorders
Evaluation
Management
- Tricyclic antidepressants
- Select SNRIs (duloxetine, venlafaxine, milnacipran)
- Anticonvulsants (pregabalin, gabapentin)