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Updated view of fibromyalgia


Authors: Jan Tomš
Authors place of work: Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, 2. interní klinika FN, Oddělení revmatologie a klinické farmakologie
Published in the journal: Čas. Lék. čes. 2012; 151: 415-419
Category: Review Articles

Summary

Fibromyalgia is a chronic syndrome characterized by dysfunction of pain processing and regulation. Although the definite etiology has not been recognized yet, the key role in the pathogenesis of this syndrome probably plays the central sensitization process with the development of chronic (central) pain and other associated symptoms (fatigue, stiffness, sleep disorders, cognitive and vegetative disturbance). The absence of objective diagnostic tests often results in delayed diagnosis and patient fluctuation among a number of specialists with uncertainty and fear of a serious disease. The treatment is based on the individually adjusted and multidisciplinary approach to the patient, combining pharmacological and non-pharmacological therapy. New drugs introduced to the therapy in the recent years can have positive effect on symptom reduction and improvement of patients’ quality of life.

Key words:
fibromyalgia, chronic pain, fatigue, central sensitization.


Zdroje

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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
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