Diferencia entre revisiones de «Fibromyalgia»
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==Background== | ==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== | ==Clinical Features== | ||
* chronic musculoskeletal pain | |||
* insomnia | |||
* fatigue | |||
* decreased concentration | |||
* headache | |||
* parasthesias | |||
==Differential Diagnosis== | ==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== | ==Evaluation== | ||
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==Management== | ==Management== | ||
* [[Tricyclic antidepressants]] | |||
* Select SNRIs ([[duloxetine]], [[venlafaxine]], [[milnacipran]]) | |||
* [[Anticonvulsants]] ([[pregabalin]], [[gabapentin]]) | |||
==Disposition== | ==Disposition== | ||
Revisión del 00:18 16 mar 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)