Matthew J. Bair, MD, MS; Erin E. Krebs, MD, MPH
CME Objective: To review current evidence for pathophysiology, risk factors, diagnosis, treatment, and practice improvement of fibromyalgia.
Funding Source: American College of Physicians.
Disclosures: Drs. Bair and Krebs, ACP Contributing Authors, have nothing to disclose. The forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3262.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
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Fibromyalgia is characterized by chronic, widespread musculoskeletal pain and associated fatigue, sleep disturbances, and other cognitive and somatic symptoms. For many patients, these symptoms persist for years and lead to frequent health care use; for some, fibromyalgia and its symptoms can be debilitating. Although many treatments are available, management remains challenging. This article highlights the clinical features of fibromyalgia, discusses diagnostic criteria and their evolution, and reviews treatment options.
Bair MJ, Krebs EE. Fibromyalgia. Ann Intern Med. 2020;172:ITC33–ITC48. doi: https://doi.org/10.7326/AITC202003030
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Published: Ann Intern Med. 2020;172(5):ITC33-ITC48.
Chronic Fatigue Syndrome/Fibromyalgia, Rheumatology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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