最后审阅: 15 三月 2021
最后更新: 27 十月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 慢性疼痛
  • 体格检查提示广泛的压痛

其他诊断因素

  • 休息后仍不能缓解的疲劳感
  • 睡眠障碍
  • 情绪障碍
  • 认知功能障碍
  • 头痛
  • 麻木/刺痛的感觉
  • 僵硬
  • 对感官刺激过敏,包括明亮的光线、气味和噪音。

危险因素

  • 纤维肌痛家族史
  • 风湿性疾病
  • 年龄在20到60岁之间
  • 女性
  • 存在相关疾病

诊断性检查

需考虑的检查

  • 红细胞沉降率/CRP
  • 甲状腺功能检测
  • 全血细胞计数(FBC)
  • 类风湿因子
  • 抗环胍氨酸(CCP)抗体
  • 抗核抗体
  • 维生素 D 水平

治疗流程

持续性治疗

撰稿人

Professor of Anesthesiology, Medicine, and Psychiatry

University of Michigan Health System

Ann Arbor

MI

利益声明

DJC has received consulting fees from Pfizer, Eli Lilly, Nuvo, Cerephex, Tonix, Abbott, Forest Laboratories, Johnson & Johnson, Merck, Purdue Pharma, Zynerba, Astellas Pharmaceuticals, Williams & Connolly LLP, and Aptinyx; he has received research grant support from Pfizer, Cypress Biosciences, Forest Laboratories, Merck, Novo, Cerephex, and Aptinyx. DJC is an author of a number of references cited in this topic.

Dr Daniel J. Clauw would like to gratefully acknowledge Dr Lisa Ware Corbin, a previous contributor to this topic.

利益声明

LWC declares that she has no competing interests.

同行评议者展开全部内容

Emeritus Professor of Medicine

Tufts University School of Medicine

Boston

MA

利益声明

DG declares that he has no competing interests.

Professor of Medicine and Nursing Research

Oregon Health & Science University

Portland

OR

利益声明

RB declares that he has no competing interests.

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