Chad Boomershine wrote an excellent review article on fibromyalgia in Rheumatology Practice News.
One of the most valuable pieces in the article is the list of potential diseases to exclude when faced with a patient who may have this painful disorder.
1.Anemia, leukemia and lymphoma, sickle cell disease
2.Thyroid disease, hyperparathyroid disease, diabetes, Cushing’s disease, Paget’s disease
3.Polymyalgia rheumatica, rheumatoid arthritis, systemic lupus erythematosus, Sjogren’s disease, Behcet’s disease, vasculitis, sarcoidosis
4. Hepatitis, HIV, Lyme disease, parvovirus disease, Epstein-Barr virus, cytomegalovirus, and urinary tract infections.
5. Multiple sclerosis, myesthenia gravis, peripheral neuropathy
6. Sleep apnea, restless legs, kidney disease, nutritional deficiencies, celiac disease, Chiari malformation, drug and alcohol abuse.
7. Psychiatric disease such as depression, anxiety, bipolar disorders.
A critical issue to remember is that fibromylagia can occur secondary to any of the above conditions as well.
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