Guymer Emma, Littlejohn Geoffrey
MBBS, FRACP, is a Rheumatologist and Head of the Fibromyalgia Clinic, Department of Rheumatology, Monash Medical Centre, Melbourne, and Adjunct Lecturer, Department of Medicine, Monash University, Melbourne, Victoria.
Aust Fam Physician. 2013 Oct;42(10):690-4.
Fibromyalgia is a common and debilitating condition. The cardinal feature of fibromyalgia is musculoskeletal pain, usually accompanied by other problems, such as fatigue, sleep disturbance and cognitive difficulties. Fibromyalgia commonly coexists with other chronic illnesses and can result in poorer outcomes if untreated.
The objective of this review is to discuss when fibromyalgia should be considered as a diagnosis, how it is diagnosed, the current understanding of the pathophysiology of fibromyalgia and the management strategies available.
The features of fibromyalgia are similar to those of many other chronic illnesses, sometimes resulting in diagnostic confusion. Fibromyalgia can co-exist with other disorders and it is important to consider the possibility of fibromyalgia contributing to symptoms in any chronically ill patient.
纤维肌痛是一种常见且使人衰弱的病症。纤维肌痛的主要特征是肌肉骨骼疼痛,通常伴有其他问题,如疲劳、睡眠障碍和认知困难。纤维肌痛常与其他慢性疾病共存,若不治疗可能导致更差的结果。
本综述的目的是讨论何时应考虑将纤维肌痛作为一种诊断,其如何被诊断,对纤维肌痛病理生理学的当前理解以及可用的管理策略。
纤维肌痛的特征与许多其他慢性疾病相似,有时会导致诊断混淆。纤维肌痛可与其他病症共存,对于任何慢性病患者,考虑纤维肌痛导致症状的可能性很重要。