Extensive Workup on Early-Onset Fibromyalgia: A Case Report

Abstract

This case report details a unique case of fibromyalgia manifested at a very early age, and the patient's suffering as a result of mis-and under-diagnosis of her condition for over a decade. For most of her life, the patient has had seemingly unrelated bouts of pain, neurological conditions, and psychiatric disturbances, and has seen numerous specialists for these conditions to no avail. The lengthy history discussion and physical examination findings, detailed in this report, revealed a progressive disease course. Providing the patient with drafts of the compiled history and data has encouraged her to reseek specialist care. With this revealed history, physical examination information, and lab results, progress has been made to diagnose and treat the patient's numerous conditions. In addition to the unique fibromyalgia presentation, the case report provides compelling justification for physicians to consider broad differential diagnoses, engage in patient-centered discussion about treatment progression, and to strengthen and maintain the patientprovider relationship.

Fibromyalgia in obstructive sleep apnea-hypopnea syndrome: a systematic review and meta-analysis

“…In particular, the patient had depression, anxiety, restless legs syndrome, elevated autoimmune titers, migraine, and possible Frontiers in Physiology frontiersin.org vulvodynia or vaginismus as comorbidities of FM (Treves and Qazi, 2022). Stehlik et al (Stehlik et al, 2009) found that 64% of a group of female patients diagnosed with FM also concurrently suffered from restless legs syndrome.…”