Myalgia differential diagnosis: Difference between revisions

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==Overview==
== Myalgia differential diagnosis ==
 
==Myalgia differential diagnosis==
 
The most common causes of myalgia are overuse, [[injury]] or [[Stress (medicine)|stress]]<ref name=MedlinePlus>[http://www.nlm.nih.gov/medlineplus/ency/article/003178.htm MedlinePlus]</ref>. However, myalgia can also be caused by diseases, disorders, medications, as a response to vaccination and withdrawal syndromes.
 
===Overuse===
Overuse of a muscle is using it too much, too soon and/or too often. <ref name=MedlinePlus/>  Examples are:
*[[Repetitive strain injury]].
 
===Injury===
The most common causes of myalgia by [[injury]] are: sprains and strain (injury)<ref name=MedlinePlus/>.
 
===Diseases/Disorders===


====Infectious====
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[[Trichinosis]], [[Typhoid fever]], [[Upper respiratory tract infection]], [[Viral pneumonia]], [[Influenza]], [[Common cold]],[[Community-acquired pneumonia]], [[Coccidioidomycosis]], [[Dengue]], [[Endemic typhus]], [[HIV]], [[Infectious mononucleosis]],[[Legionellosis]], [[Leptospirosis]], [[Lyme disease]], [[Malaria]], [[Marburg virus]], [[Meningitis]], [[Monkeypox]],[[Pharyngitis]], [[Pneumonia]], [[Prostatitis]], [[Psittacosis]], [[Q fever]], [[Rabies]],  [[Rift Valley fever]], [[Severe acute respiratory syndrome]] (SARS), [[Toxic shock syndrome]], West Nile, [[Chikungunya]]
 
====Autoimmune====
[[Multiple sclerosis]], [[Myositis]], [[Lupus erythematosus]], [[Familial Mediterranean fever]], [[Polyarteritis nodosa]], [[Devic's disease]], [[Morphea]]
 
====Metabolic defect====
[[Carnitine palmitoyltransferase II deficiency]], [[Conn's syndrome]], [[Adrenal insufficiency]]
 
====Other====
[[Chronic fatigue syndrome]], [[Hypokalemia]], [[Exercise intolerance]], [[Mastocytosis]], [[Peripheral neuropathy]], Eosinophilia myalgia syndrome, [[Fibromyalgia]], [[Barcoo Fever]], [[Delayed onset muscle soreness]]
 
===Medications===
Aldara, [[Acrylamide]], [[Darbepoetin]], [[Isotretinoin]], [[Procainamide]], [[Quinupristin/dalfopristin]], Spiriva,[[Sumatriptan]], [[Vardenafil]], [[Statins]], Zetia, Zomig, Boniva
 
===As a Response to Vaccination===
A moderate occurrence (25-35%) of myalgia in recipients of [[tetanus]] [[vaccination]] is identified in the US; it presents in the large muscle groups and at the subcutaneous injection site.  When a patient returns with these symptoms (which include [[fever]], poor [[appetite]] and [[lethargy]]), a clinician who fails to notice the recent tetanus vaccination on the patient's chart is in danger of making a life-threatening misdiagnosis.
: An item of note is that in heart patients using selective β<sub>1</sub>-blockers such as [[metoprolol]], incidence of myalgia after tetanus vaccination is significantly higher.
 
===Withdrawal Syndromes===
Sudden cessation of [[opioids]], [[barbiturates]], [[benzodiazepines]], or [[alcohol]] can induce myalgia.  
 
==References==


== References ==
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{{reflist|2}}


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Revision as of 20:44, 21 August 2012