Frequency of concomitant fibromyalgia in rheumatic diseases: Monocentric study of 691 patients

Fan, A.; Pereira, Bruno; Tournadre, Anne; Tatar, Zuzana; Malochet‐Guinamand, Sandrine; Mathieu, Sylvain; Couderc, Marion; Soubrier, Martin; Dubost, Jean‐Jacques

doi:10.1016/j.semarthrit.2017.01.005

Cited by 52 publications

(39 citation statements)

References 21 publications

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“…There is limited data on the prevalence of FM in patients with PsA [8,9,11,23,32,33]. There are difficulties to distinguish the two conditions because both PsA and FM share similar complaints such as extraarticular pain, chronic back pain associated with morning stiffness, fatigue, depression, anxiety, and sleep disturbance.…”

Section: Discussionmentioning

confidence: 99%

“…There are difficulties to distinguish the two conditions because both PsA and FM share similar complaints such as extraarticular pain, chronic back pain associated with morning stiffness, fatigue, depression, anxiety, and sleep disturbance. In the studies, comorbid FM has been reported to occur in 15 to 50% of patients with PsA with a higher prevalence in women [8,9,11,23,32,33]. FM has been identified mostly using ACR 1990 criteria or ACR 2010 criteria [8,9,11,32,33].…”

Section: Discussionmentioning

confidence: 99%

“…Fibromyalgia (FM) is a chronic condition characterized by widespread bodily pain associated with somatic symptoms including fatigue, sleep disturbance, and cognitive problems [3,4]. Coexisting FM to the rheumatic diseases such as rheumatoid arthritis, systemic lupus erythematosus, scleroderma, primer Sjogren's syndrome, spondyloarthritis, PsA has been identified and it has been found associated with more severe symptoms, impaired function, and greater disability [5][6][7][8][9][10][11][12]. Moreover, presence of FM was one of the exclusion criteria in clinical trials of disease-modifying agents as it may influence study outcome [12].…”

Section: Introductionmentioning

confidence: 99%

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The impact of the presence of fibromyalgia on fatigue in patients with psoriatic arthritis: comparison with controls

et al. 2019

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Background: Coexisting fibromyalgia (FM) to psoriatic arthritis (PsA) has been identified and it has been associated with more severe symptoms, impaired function, and greater disability. It was aimed to explore the effect of the presence of FM on fatigue in patients with PsA comparing with controls. Methods: Fifty patients with PsA and 34 sex-age matched controls were enrolled. In patients; pain was assessed by Visual Analogue Scale, disease activity by DAS-28, enthesitis by The Leeds Enthesitis Index. Fatigue level of all participants was evaluated by Multidimensional Assessment of Fatigue. In all participants, FM was determined according to 2010 American College of Rheumatology criteria. Results: Seventeen patients with PsA (34%) and 4 controls (11.8%) were diagnosed with FM and all of them were women. There was significant difference between the patients and controls in terms of presence of FM (p < 0.05). Patients' fatigue scores were significantly higher than controls' (p = 0.001). There were significant differences between the PsA patients with and without FM with regard to gender, enthesitis, DAS-28 and pain scores (p < 0.05); fatigue scores (p < 0.001). The significant effect of the presence of FM on fatigue was found by univariate analysis of variance in patients (p < 0.001). Conclusion: It was observed that FM presence and fatigue were more common in PsA patients than controls and comorbid FM had significant effect on fatigue in these patients. Physicians should be aware of the possibility of concomitant FM in patients with PsA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of the presence of fibromyalgia on fatigue in patients with psoriatic arthritis: comparison with controls

et al. 2019

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“…153,166 Various rheumatic conditions, both inflammatory and degenerative, may act as a peripheral pain generator and associate with FM including inflammatory rheumatic diseases such as rheumatoid arthritis, systemic lupus erythematosus, scleroderma, Sjogren's syndrome and others, and osteoarthritis. 14,23,33,59,80,89,137 Joint hypermobility as in joint hypermobility syndrome and Ehler's Danlos syndrome may predispose to recurrent pain and subsequent FM. 31 The association with rhinitis and urticaria is especially interesting, as gene expression profiling in FM has reported an up-regulation of genes involved in allergic responses.…”

Section: Common Medical and Psychiatric Comorbiditiesmentioning

confidence: 99%

“…115 FM also is very commonly seen as a comorbidity in other chronic pain conditions such as osteoarthritis, rheumatoid arthritis, and lupus. 14,59,137 This phenomenon had previously been termed "secondary FM"; however, because this is so common and might occur in a subset of nearly any chronic pain cohort, the preferred terminology is that there has been a centralization of pain that manifests as co-morbid FM. FM, especially the "primary" form, is also very comorbid with early life and current stress, and many, if not most, individuals will have a lifetime history of a psychiatric disorder such as depression or anxiety.…”

Section: Risk Factors and Comorbiditiesmentioning

confidence: 99%

AAPT Diagnostic Criteria for Fibromyalgia

Arnold

Bennett

Crofford

et al. 2019

The Journal of Pain

275

215

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Fibromyalgia (FM) is a common chronic pain disorder that presents diagnostic challenges for clinicians. Several classification, diagnostic and screening criteria have been developed over the years, but there continues to be a need to develop criteria that reflect the current understanding of FM and are practical for use by clinicians and researchers. The Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks (ACTTION) public-private partnership with the U.S. Food and Drug Administration (FDA) and the American Pain Society (APS) initiated the ACTTION-APS Pain Taxonomy (AAPT) to develop a diagnostic system that would be clinically useful and consistent across chronic pain disorders. The AAPT established an international FM working group consisting of clinicians and researchers with expertise in FM to generate core diagnostic criteria for FM and apply the multidimensional diagnostic framework adopted by AAPT to FM. The process for developing the AAPT criteria and dimensions included literature reviews and synthesis, consensus discussions, and analyses of data from large population-based studies conducted in the United Kingdom. The FM working group established a revised diagnosis of FM and identified risk factors, course, prognosis, and pathophysiology of FM. Future studies will assess the criteria for feasibility, reliability, and validity. Revisions of the dimensions will also be required as research advances our understanding of FM.

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Identifying and Managing Nociplastic Pain in Individuals With Rheumatic Diseases: A Narrative Review

Murphy

Minhas

Clauw

et al. 2023

Arthritis Care & Research

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Chronic pain is a burdensome and prevalent symptom in individuals with rheumatic disease. The International Association for the Study of Pain classifies pain into 3 descriptive categories: nociceptive, neuropathic, and nociplastic. These categories are intended to provide information about the mechanisms underlying the pain, which can then serve as targets for drug or non‐drug treatments. This review describes the 3 types of pain as they relate to patients seen by rheumatology health care providers. The focus is on identifying individuals with nociplastic pain, which can either occur in isolation as in fibromyalgia, or as a comorbidity in individuals with primary autoimmune conditions, such as rheumatoid arthritis and systemic lupus erythematosus. Practical information about how rheumatology health care providers can approach and manage chronic pain is also provided.

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Frequency of concomitant fibromyalgia in rheumatic diseases: Monocentric study of 691 patients

Cited by 52 publications

References 21 publications

The impact of the presence of fibromyalgia on fatigue in patients with psoriatic arthritis: comparison with controls

The impact of the presence of fibromyalgia on fatigue in patients with psoriatic arthritis: comparison with controls

AAPT Diagnostic Criteria for Fibromyalgia

Identifying and Managing Nociplastic Pain in Individuals With Rheumatic Diseases: A Narrative Review

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