Differentiating Fibromyalgia from other diseases: Difference between revisions

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* [[Whiplash (medicine)|Whiplash-associated disorder]]
* [[Whiplash (medicine)|Whiplash-associated disorder]]
* [[Multiple chemical sensitivity]]
* [[Multiple chemical sensitivity]]
{| class="wikitable"
!Disease
!Differentiating signs and symptoms
!Diifferentiating labs
!
|-
|Rheumatoid arthritis
|
* Multiple joint swelling
* Morning stiffness
* Rheumatoid nodules
|
* RF or anti-cyclic citrullinated protein (CCP) antibody is positive.
* Markers of systemic inflammation (ESR, CRP) are typically elevated.
|
|-
|SLE
|
* Maculo-papular rash
* Multi system involvement
|
|
|-
|[[Chronic fatigue syndrome]]
|
*Fatigue plus 4 of the following symptoms
*(1) Short-term memory loss
*(2) Sore throat
*(3) tender lymph nodes in the neck or armpit
*(4) muscle pain
*(5) joint pain without swelling or redness
*(6) headaches
*(7) unrefreshing sleep
*(8) malaise
|
*Diagnosis of exclusions
*Symptoms must present for more than 6 months
|
|-
|Spondyloarthritis
|
* Axial skeletal pain and stiffness
* Restricted spinal motion
|
* Elevated ESR or CRP
* Negtive RF
* Bamboo spine on X-ray
|
|-
|Polymyalgia rheumatica
|
* Older at onset 
* Generalized stiffness
|
* An elevated erythrocyte sedimentation rate (ESR) OR C-reactive protein (CRP
* Response to corticosteroids
|
|-
|Osteoarthritis 
|
* Localized joint pain
* Restricted to affect joints
* Older at onset
|
* Xray of the involved joints demonstrate degenerative changes
|
|-
|Hypothyroidism
|
*Systemic symptoms such as weight gain, constipation, dry skin
*Muscular aching and prominent fatigue that improves on replacement of thyroid hormone.
|
*TSH is elevated and free T4 is low.
|
|-
|Myopathaies(polymyositis and dermatomyositis)
|
*Pelvic and shoulder girdle muscle weakness
*Rash
|
*Muscle biopsy confirms the diagnosis
*Elevated CPK enzyme
|
|-
|Neuropathy
|
*Numbness and tingling
*Paresthesia
|
*Abnormal EMG
|}


==References==
==References==

Revision as of 19:58, 12 June 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Differentiating Fibromyalgia from other Diseases

A number of other disorders can produce similar symptoms to fibromyalgia:

References

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