Hypothalamic-Pituitary-Adrenal Axis Function in Fibromyalgia and Chronic Fatigue Syndrome

Adler, Gail K.; Manfredsdottir, Valdis F.; Rackow, Rachel M.

doi:10.1097/00019616-200211000-00008

Cited by 9 publications

(1 citation statement)

References 82 publications

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“…Patients who underwent long-term corticosteroid therapy, irrespective of the reason, can experience corticosteroid withdrawal, particularly if the drug cessation has been abrupt or inappropriate. These patients can experience diffuse muscle pain, rapidly responding to corticosteroid reintroduction 39 .…”

Section: Differential Diagnosismentioning

confidence: 99%

Fibromialgia: aspectos clínicos e ocupacionais

Helfenstein

Goldenfum

Siena³

2012

Revista da Associação Médica Brasileira

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Fibromyalgia (FM) is a clinical syndrome commonly observed in daily medical practice and its etiopathogenesis is still unclear. As it is characterized by chronic musculoskeletal pain associated with several symptoms, FM may be confused with several other rheumatic and nonrheumatic diseases when they course with pictures of diffuse pain and chronic fatigue. FM treatment should be multidisciplinary, individualized, count on active participation of the patient, and based on combined pharmacological and nonpharmacological modalities. It is found both in work and non-work settings, and there is no scientific evidence in the literature showing that FM might be caused by occupation. FM seldom leads to incapacity to work. In cases where pain or fatigue do not respond to appropriate treatment, reaching significant levels, a short period away from work can be considered. As FM is a relevant subject, this review article was based on exploratory, qualitative, and bibliographic investigation, aiming to study the main clinical and occupational aspects of FM, emphasizing the theoretical-conceptual background and the experience of specialists.

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Section: Differential Diagnosismentioning

confidence: 99%