Öz
Fibromyalgia (FM) is one of the main causes of chronic diffuse musculoskeletal pain accompanied by fatigue, cognitive impairment, psychiatric symptoms and multiple somatic symptoms. FM may be commonly associated with rheumatic diseases but may sometimes lead to misdiagnosis by mimicking rheumatic diseases. A careful history and detailed physical examination are required for the diagnosis of FM, there is nonspecific laboratory test or radiological imaging method for the diagnosis of the disease. In this paper, we want to draw attention to FM by presenting a case of FM accompanied by diffuse idiopathic skeletal hyperostosis (DISH) and undifferentiated connective tissue disease (UTCD), which had difficulties in diagnosis and treatment
Anahtar Kelimeler
Fibromyalgia DISH undifferentiated connective tissue disease
Kaynakça
- Vincent A, Lahr BD, Wolfe F, et al. Prevalence of fibromyalgia: a population-based study in Olmsted County, Minnesota, utilizing the Rochester Epidemiology Project. Arthritis Care Res (Hoboken) 2013;65(5):786-92.
- Giacomelli C, Talarico R, Bombardieri S, et al. The interaction between autoimmune diseases and fibromyalgia: risk, disease course and management. Exper Rev Clin Immunol 2013;9(11):1069-76.
- Ay S. Fibromiyalji Sendromunun Patogenezi. Türkiye Klinikleri J PM&R-Special Topics 2015;8(3):5-9.
- Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016;46(3):319-29.
- Andersson ML, Svensson B, Bergman S. Chronic widespread pain in patients with rheumatoid arthritis and the relation between pain and disease activity measures over the first 5 years. J Rheumatol 2013;40(12):1977-85.
- Mader R, Verlaan JJ, Eshed I, et al. Diffuse idiopathic skeletal hyperostosis (DISH): where we are now and where to go next. RMD Open 2017;3(1):e000472. doi: 10.1136/rmdopen-2017-000472.
Öz
Fibromiyalji (FM) yorgunluk, kognitif bozukluk, psikiyatrik semptomlar ve çoklu somatik semptomların eşlik ettiği kronik yaygın kas-iskelet ağrısının başlıca nedenlerinden biridir. FM yaygın olarak romatizmal hastalıklara eşlik edebilmekle birlikte, bazen de romatizmal hastalıkları taklit ederek yanlış tanılara yol açabilmektedir. FM’nin tanısı için dikkatli alınmış bir öykü ve detaylı fizik muayene gerekmektedir, hastalığın tanısı için özgül bir laboratuvar testi veya radyolojik görüntüleme yöntemi yoktur. Bu yazıda diffüz idiopatik skeletal hiperostozis (DISH) ve belirlenemeyen bağ doku hastalığına (BDH) eşlik eden, tanı ve tedavi sürecinde güçlük yaşanan bir FM olgusunu sunarak, romatizmal hastalıklara sıklıkla eşlik edebilen FM hastalığına dikkat çekmek istedik
Anahtar Kelimeler
Kaynakça
- Vincent A, Lahr BD, Wolfe F, et al. Prevalence of fibromyalgia: a population-based study in Olmsted County, Minnesota, utilizing the Rochester Epidemiology Project. Arthritis Care Res (Hoboken) 2013;65(5):786-92.
- Giacomelli C, Talarico R, Bombardieri S, et al. The interaction between autoimmune diseases and fibromyalgia: risk, disease course and management. Exper Rev Clin Immunol 2013;9(11):1069-76.
- Ay S. Fibromiyalji Sendromunun Patogenezi. Türkiye Klinikleri J PM&R-Special Topics 2015;8(3):5-9.
- Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016;46(3):319-29.
- Andersson ML, Svensson B, Bergman S. Chronic widespread pain in patients with rheumatoid arthritis and the relation between pain and disease activity measures over the first 5 years. J Rheumatol 2013;40(12):1977-85.
- Mader R, Verlaan JJ, Eshed I, et al. Diffuse idiopathic skeletal hyperostosis (DISH): where we are now and where to go next. RMD Open 2017;3(1):e000472. doi: 10.1136/rmdopen-2017-000472.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Ek |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Ekim 2019 |
| Gönderilme Tarihi | 19 Ekim 2018 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 58 Özel Sayı: 1 (Romatoloji) |
